Individual provider Active NPI

Anu Thomas

  • Pediatrics Physician
  • Cypress, TX
National Provider Identifier
1104246594
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R1662 Issued in TX
Practice address
14502 Cypress Mill Place Blvd Ste 100
Cypress, TX 77429-7300
Phone
(281) 374-9700
Fax
(281) 370-8765
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R1662 TX Primary

Addresses

Primary practice location

14502 Cypress Mill Place Blvd Ste 100
Cypress, TX 77429-7300

Mailing address

455 School St Ste 26
Tomball, TX 77375-4595
Phone (281) 374-9700

Other practice location 1

455 School St Ste 26
Tomball, TX 77375-4595
Phone (281) 374-9700

Other practice location 2

19059 Champion Forest Dr Ste 101
Spring, TX 77379-8597
Phone (281) 374-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1662TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Adolescent Center of NW Houston, P a Pediatrics PastSince May 19, 2024 Accepting new patients
Northeast Pediatric Associates PA Pediatrics PastSince Aug 22, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJADA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1104246594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 26",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-374-9700",
            "fax_number": "281-370-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 CYPRESS MILL PLACE BLVD STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297300",
            "telephone_number": "281-374-9700",
            "fax_number": "281-370-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 School St Ste 26",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773754595",
            "country_code": "US",
            "telephone_number": "281-374-9700",
            "fax_number": "281-370-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19059 Champion Forest Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773798597",
            "country_code": "US",
            "telephone_number": "281-374-9700",
            "fax_number": "281-370-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-05-14",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.