Individual provider Active NPI

Thomas John Goaley Jr., M.D.

  • Trauma Surgery Physician
  • Mansfield, TX
National Provider Identifier
1255320594
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
N3048 Issued in TX
Practice address
2800 E Broad St Ste 421
Mansfield, TX 76063-6415
Phone
(469) 695-2028
Fax
(469) 695-2029
NPI assigned
Oct 19, 2005
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X N3048 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 421
Mansfield, TX 76063-6415

Mailing address

2800 E Broad St Ste 421
Mansfield, TX 76063-6415
Phone (469) 695-2028

Other identifiers 6

IdentifierTypeStateIssuer
18256OtherNEMEDICAL LICENSE
TEMP 10APR2009OtherTEXAS MEDICAL BOARD
0101055420OtherVAMEDICAL LICENSE
056062OtherGAMEDICAL LICENSE
G0165380OtherTXTEXAS DEPARTMENT OF PUBLIC SAFETY
N3048OtherTX MED BOARD LICENSE

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
I20090716000319 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4981756319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

Practice addresses (Care Compare)

2975 E Broad St
Suite 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3048TXMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jul 11, 2015 Accepting new patients
Medhealth CurrentSince Oct 1, 2023 Accepting new patients
Urgent Specialty Associates of Texas, PLLC CurrentSince Apr 4, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 11, 2015 Accepting new patients
Medhealth Trauma Surgery CurrentSince Oct 1, 2023 Accepting new patients
Hillcrest Surgical Associates Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 421
Mansfield, TX 76063
Phone (469) 695-2028

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: tgoaley109717@christushealth.direct-ci.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1255320594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 421",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636415",
            "telephone_number": "469-695-2028",
            "fax_number": "469-695-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 421",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636415",
            "telephone_number": "469-695-2028",
            "fax_number": "469-695-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOALEY",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "N3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18256",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "TEMP 10APR2009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101055420",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "056062",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF PUBLIC SAFETY",
            "identifier": "G0165380",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MED BOARD LICENSE",
            "identifier": "N3048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.