Individual provider Active NPI

Lini M Thomas, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1093338832
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U5537 Issued in TX
Practice address
801 W Cannon St
Fort Worth, TX 76104-3147
Phone
(817) 250-7195
Fax
(817) 250-0115
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10071691 TX
Family Medicine Physician 207Q00000X U5537 TX Primary

Addresses

Primary practice location

801 W Cannon St
Fort Worth, TX 76104-3147

Mailing address

809 Gallagher Dr Ste D
Sherman, TX 75090-1754
Phone (903) 771-2846

Other practice location 1

809 Gallagher Dr Ste D
Sherman, TX 75090-1754
Phone (903) 771-2846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018004115 TX Practitioner - Family Practice 7618322108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

801 W Cannon St
Fort Worth, TX 76104-3147
Phone (817) 813-6936

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U5537TXMDFamily Medicine Physician
BP10071691TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

801 W Cannon St
Ft Worth, TX 76104
Phone (817) 250-7195

Interoperability endpoints

  • Direct secure messaging: lthomas1541272@direct.texashealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1093338832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GALLAGHER DR STE D",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901754",
            "telephone_number": "903-771-2846",
            "fax_number": "903-771-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043147",
            "telephone_number": "817-250-7195",
            "fax_number": "817-250-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Gallagher Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750901754",
            "country_code": "US",
            "telephone_number": "903-771-2846",
            "fax_number": "903-771-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LINI",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10071691",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.