Individual provider Active NPI

Todd A Thames, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1124024286
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6941 Issued in TX
Practice address
211 E 7TH St Ste 620
Austin, TX 78701-3218
Phone
(800) 997-6196
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K6941 TX Primary

Addresses

Primary practice location

211 E 7TH St Ste 620
Austin, TX 78701-3218

Mailing address

1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196

Other practice location 1

1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196

Other identifiers 9

IdentifierTypeStateIssuer
8J8362OtherTXBCBS OF TEXAS
742806531TOtherTXHUMANA
9217674OtherTXPRIVATE HEALTHCARE SYST
0059392OtherTXBLUELINK ACCESS
041062302MedicaidTX
0410623-03OtherTXCSHCN MEDICAID
1894511OtherTXFIRST HEALTH
7922607OtherTXAETNA
8401621OtherTXCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, IL, NC, OK, SC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20040623001271 TX Practitioner - Family Practice 0345225223 Reassigns benefits to 4 organizations
I20231013002529 NY Practitioner - Family Practice 0345225223 Reassigns benefits to 1 organization
I20231102001786 IL Practitioner - Family Practice 0345225223 Reassigns benefits to 1 organization
I20231109003209 NC Practitioner - Family Practice 0345225223 Reassigns benefits to 1 organization
I20240515004208 OK Practitioner - Family Practice 0345225223 Reassigns benefits to 1 organization
I20240618002057 SC Practitioner - Family Practice 0345225223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51485SCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals of California Family Medicine CurrentSince Dec 21, 2019 Accepting new patients
Doctor on Demand Professionals of Kansas, P.a. Family Medicine CurrentSince Dec 21, 2019 Accepting new patients
Doctor on Demand Professionals of New Jersey, P.C. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Santa Rosa Family Health Center Family Medicine Past Accepting new patients
Health by Design Medical Group Past Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

Interoperability endpoints

  • Direct secure messaging: todd.thames.1@30520.direct.athenahealth.com

Organizations & group practices 6

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1124024286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALIFORNIA ST STE 2300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115424",
            "telephone_number": "800-997-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST STE 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013218",
            "telephone_number": "800-997-6196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 California St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941115424",
            "country_code": "US",
            "telephone_number": "800-997-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAMES",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8J8362",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "742806531T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYST",
            "identifier": "9217674",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK ACCESS",
            "identifier": "0059392",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041062302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN MEDICAID",
            "identifier": "0410623-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1894511",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7922607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8401621",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.