Individual provider Active NPI

Renjit Varghese Thomas, MD, MBA

  • Cardiovascular Disease Physician
  • Victoria, TX
National Provider Identifier
1114347960
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10568400 Issued in NJ
Practice address
2700 Citizens PLZ Ste 300
Victoria, TX 77901-5757
Phone
(361) 573-0756
Fax
(361) 582-5602
NPI assigned
Apr 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA10568400 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X W3195 TX

Addresses

Primary practice location

2700 Citizens PLZ Ste 300
Victoria, TX 77901-5757

Mailing address

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

Other practice location 1

815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 573-0756

Other practice location 2

1013A S Wells St
Edna, TX 77957-4045
Phone (361) 573-0756

Other practice location 3

9406 NE Zac Lentz Pkwy
Victoria, TX 77904-3108
Phone (361) 573-0756

Other practice location 4

2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181

Other practice location 5

1200 Carl Ramert Dr
Yoakum, TX 77995-4868
Phone (361) 573-0756

Other practice location 6

1400 N Texana St
Hallettsville, TX 77964-2099
Phone (361) 573-0756

Other practice location 7

101 James Coleman Dr
Victoria, TX 77904-3100
Phone (361) 573-0756

Other practice location 8

114 Swift St
Refugio, TX 78377-2426
Phone (361) 573-0756

Other practice location 9

1406 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 573-0756

Other practice location 10

102 Medical Dr
Victoria, TX 77904-3101
Phone (361) 573-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231028000262 NJ Practitioner - Cardiovascular Disease (Cardiology) 8426404385 Reassigns benefits to 1 organization
I20260415003378 TX Practitioner - Internal Medicine 8426404385

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571

2701 Hospital Dr
Victoria, TX 77901-5748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10568400NJMDCardiovascular Disease Physician
W3195TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince Apr 28, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

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": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1114347960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015749",
            "telephone_number": "361-573-9181",
            "fax_number": "361-582-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015757",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779793025",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1013A S Wells St",
            "address_purpose": "LOCATION",
            "city": "Edna",
            "state": "TX",
            "postal_code": "779574045",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9406 NE Zac Lentz Pkwy",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779043108",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015748",
            "country_code": "US",
            "telephone_number": "361-573-9181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Carl Ramert Dr",
            "address_purpose": "LOCATION",
            "city": "Yoakum",
            "state": "TX",
            "postal_code": "779954868",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Texana St",
            "address_purpose": "LOCATION",
            "city": "Hallettsville",
            "state": "TX",
            "postal_code": "779642099",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 James Coleman Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779043100",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Swift St",
            "address_purpose": "LOCATION",
            "city": "Refugio",
            "state": "TX",
            "postal_code": "783772426",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1406 N Texana St",
            "address_purpose": "LOCATION",
            "city": "Hallettsville",
            "state": "TX",
            "postal_code": "779642021",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779043101",
            "country_code": "US",
            "telephone_number": "361-573-0756",
            "fax_number": "361-582-5602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RENJIT",
        "middle_name": "VARGHESE",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-20",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10568400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "W3195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.