Individual provider Active NPI

Rachel Marlene Thomas, MD

  • Pediatrics Physician
  • Granbury, TX
National Provider Identifier
1144755356
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S6317 Issued in TX
Practice address
3906 E US Highway 377 Ste 110
Granbury, TX 76049-7609
Phone
(817) 279-1390
Fax
(817) 573-5150
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 S6317 TX Primary

Addresses

Primary practice location

3906 E US Highway 377 Ste 110
Granbury, TX 76049-7609

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Other practice location 1

1850 Hickory St Ste 102
Abilene, TX 79601-2334
Phone (325) 677-2801

Other practice location 2

1400 S Coulter St
Suite 1500
Amarillo, TX 79106-1786
Phone (806) 414-9800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rthomas153279@CookChildrens.direct-ci.com

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
I20200728004002 TX Practitioner - Pediatric Medicine 3870863822 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Assn for Pediatrics Pediatrics CurrentSince Sep 1, 2020 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Feb 10, 2025 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Feb 10, 2025 Accepting new patients
Cook Children'S Physician Network Pediatrics Current Accepting new patients
Hendrick Medical Center Past Accepting new patients

Locations

1850 Hickory St
Ste 102
Abilene, TX 79601
Phone (325) 677-2801

5302 Buffalo Gap Rd
Ste 100
Abilene, TX 79606
Phone (325) 677-2801

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

3906 E US Highway 377
Ste 110
Granbury, TX 76049
Phone (817) 279-1390

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: rthomas153279@cookchildrens.direct-ci.com

Organizations & group practices 5

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1144755356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 E US HIGHWAY 377 STE 110",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497609",
            "telephone_number": "817-279-1390",
            "fax_number": "817-573-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Hickory St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012334",
            "country_code": "US",
            "telephone_number": "325-677-2801",
            "fax_number": "325-677-9110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Coulter St",
            "address_2": "Suite 1500",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061786",
            "country_code": "US",
            "telephone_number": "806-414-9800",
            "fax_number": "806-354-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RACHEL",
        "middle_name": "MARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S6317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthomas153279@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "3906 E US Highway 377 Ste 110",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760497609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.