Individual provider Active NPI

Mini Paiyappally Thomas, FNP

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1265048730
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
747795 Issued in TX
Practice address
2528 Mirasol Loop
Round Rock, TX 78681-2458
Phone
(512) 897-6176
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 747795 TX Primary

Addresses

Primary practice location

2528 Mirasol Loop
Round Rock, TX 78681-2458

Mailing address

2528 Mirasol Loop
Round Rock, TX 78681-2458

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201204001112 TX Practitioner - Nurse Practitioner 5799196234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

1105 Rock Prairie Rd
College Sta, TX 77845-8344
Phone (337) 991-9276

9903 Hunters Pond
San Antonio, TX 78224-3069
Phone (210) 477-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
747795TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC Family CurrentSince Jun 19, 2023 Accepting new patients
Curana Health Medical Group LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

8911 N Capital of Texas Hwy
Austin, TX 78759
Phone (512) 843-7843

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

7703 Briaridge Dr
San Antonio, TX 78230
Phone (210) 223-5521

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1265048730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 MIRASOL LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 MIRASOL LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812458",
            "telephone_number": "512-897-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MINI",
        "middle_name": "PAIYAPPALLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "747795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2528 Mirasol Loop",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786812458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.