Active NPI
Thomas Mitchell, M.D.
- Surgery Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61293830
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-0439
- NPI assigned
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101253518 | VA | |
| Surgery Physician | 208600000X | DR.0067852 | CO | |
| Surgery Physician | 208600000X | MD61293830 | WA | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Other practice location 1
1707 W Charleston Blvd Ste 160
Las Vegas, NV 89102-2354
Phone (702) 671-5150
Other practice location 2
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
Other practice location 3
2980 Squalicum Pkwy
Bellingham, WA 98225-1880
Phone (360) 788-8200
Other practice location 4
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Miami, LM Miller School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
1707 W Charleston Blvd
Las Vegas, NV 89102-2352
1802 Yakima Ave
Suite 104
Tacoma, WA 98405-5303
Phone (253) 426-6739
2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880
Phone (360) 788-6112
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
Hospital & facility affiliations
- St Joseph Medical Center
- University Medical Center
- St Francis Community Hospital
- St Clare Hospital
- Peacehealth St Joseph Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067852 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Family Medicine | Current | Accepting new patients |
| Providence Health & Services- Washington | Family Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| MCV Associated Physicians | Family Medicine | Current | Accepting new patients |
| Unlv Medicine | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Current | Accepting new patients |
| Providence Health & Services- Washington | General Practice | Current | Accepting new patients |
| Unlv Medicine | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Multicare Health System | Neurological Surgery | Current | Accepting new patients |
| Peacehealth | Family Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Past | Accepting new patients |
| Franciscan Health System | Past | Accepting new patients | |
| University Medical Center of Southern Nevada | Past | Accepting new patients |
Locations
3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315
1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300
1707 W Charleston Blvd
Ste 160
Las Vegas, NV 89102
Phone (702) 671-2201
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207
2980 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 671-4944
2980 Squalicum Pkwy
Ste 302
Bellingham, WA 98225
Phone (360) 788-8200
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
2980 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 671-4944
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
1802 Yakima Ave
Ste 104
Tacoma, WA 98405
Phone (253) 426-6272
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
1802 Yakima Ave
Ste 202
Tacoma, WA 98405
Phone (253) 383-5949
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Organizations & group practices 16
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
-
- Family Medicine Physician
- Mill Creek, WA
- NPI 1790014504
-
- Community/Retail Pharmacy
- Las Vegas, NV
- NPI 1184152274
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
-
- General Acute Care Hospital
- Lakewood, WA
- NPI 1689672693
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
-
- Urgent Care Clinic/Center
- North Las Vegas, NV
- NPI 1104538966
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1124314000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-0439"
}
],
"practiceLocations": [
{
"address_1": "1707 W Charleston Blvd Ste 160",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022354",
"country_code": "US",
"telephone_number": "702-671-5150",
"fax_number": "702-384-6493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2980 Squalicum Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251880",
"country_code": "US",
"telephone_number": "360-788-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1321 Colby Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982011665",
"country_code": "US",
"telephone_number": "425-261-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101253518",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0067852",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61293830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.