Individual provider Active NPI

Ken Lee Thrasher, MD

  • Anesthesiology Physician
  • Pasadena, TX
National Provider Identifier
1124058649
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J7290 Issued in TX
Practice address
4301 Vista Rd BLDG a
Pasadena, TX 77504-2117
Phone
(713) 378-3066
Fax
(713) 378-3077
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J7290 TX Primary

Addresses

Primary practice location

4301 Vista Rd BLDG a
Pasadena, TX 77504-2117

Mailing address

PO Box 5607
Pasadena, TX 77508-5607
Phone (713) 378-3066

Other identifiers 3

IdentifierTypeStateIssuer
040147301MedicaidTX
82184FOtherTXBC/BS
0046CCOtherTXMEDICARE RPK GROUP #

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
I20090216000209 TX Practitioner - Anesthesiology 0143385765 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akai Anesthesia PLLC Anesthesiology CurrentSince Nov 4, 2019 Accepting new patients
RPK Anesthesia PA Anesthesiology Past Accepting new patients
Pasadena Pain Management Consultants, PA. Past Accepting new patients

Locations

1246 N FM 3083 Rd W
Ste A
Conroe, TX 77304
Phone (936) 441-2233

8524 Highway 6 N
Houston, TX 77095
Phone (281) 763-2196

26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1124058649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5607",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775085607",
            "telephone_number": "713-378-3066",
            "fax_number": "713-378-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VISTA RD BLDG A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042117",
            "telephone_number": "713-378-3066",
            "fax_number": "713-378-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "KEN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J7290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040147301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82184F",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RPK GROUP #",
            "identifier": "0046CC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.