Active NPI
Thomas Leroy Baxter III, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1154480689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F0869
- Practice address
- 6550 Fannin St
Suite 1101
Houston, TX 77030-2717 - Phone
- (713) 441-1006
- Fax
- (713) 790-2727
- NPI assigned
- Dec 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F0869 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 1101
Houston, TX 77030-2717
Mailing address
6550 Fannin St
Suite 1101
Houston, TX 77030-2717
Phone (713) 441-1006
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00757544 | Other | TX | MEDICARE RAILROAD |
| 033036703 | Medicaid | TX | |
| P01030939 | Other | TX | RR MEDICARE |
| 33036702 | Medicaid | TX | |
| 1154480689 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0869 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1154480689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-1006",
"fax_number": "713-790-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-1006",
"fax_number": "713-790-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "THOMAS",
"middle_name": "LEROY",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F0869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00757544",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033036703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01030939",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33036702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1154480689",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.