Individual provider Active NPI

Joseph John Thayil, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1275528978
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
M2153 Issued in TX
Practice address
4129 Naco Perrin Blvd
San Antonio, TX 78217-2505
Phone
(210) 722-8106
Fax
(210) 275-0080
NPI assigned
Sep 19, 2005
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M2153 TX Primary

Addresses

Primary practice location

4129 Naco Perrin Blvd
San Antonio, TX 78217-2505

Mailing address

P.O. Box 780566
San Antonio, TX 78278-0566
Phone (210) 646-0800

Other identifiers 1

IdentifierTypeStateIssuer
M2153OtherTXMEDICAL 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
I20050819000345 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3971533803 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
R L Carry Inc Geriatric Medicine Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

721 Thompson Dr
Kerrville, TX 78028
Phone (830) 896-2211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1275528978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 780566",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782780566",
            "telephone_number": "210-646-0800",
            "fax_number": "210-590-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 NACO PERRIN BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172505",
            "telephone_number": "210-722-8106",
            "fax_number": "210-275-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYIL",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M2153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M2153",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.