Antony Bijoy Thomas, MD
Individual provider Active NPI General Practice Physician · Lake Jackson, TX
NPI 1275620577 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1275620577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- K2298 (TX)
- Practice address
- 215 Oak Dr S Ste I
Lake Jackson, TX 77566-5618 - Phone
- (979) 297-5400
- Fax
- (979) 297-5552
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
215 Oak Dr S
Suite I
Lake Jackson, TX 77566-5618
Phone (979) 297-5400
Hospital & facility affiliations
- Angels Care Home Health
- CHI St Luke'S Health Brazosport
- University of Texas Medical Branch Galveston
- Sweeny Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000488 | TX | Practitioner - Family Practice | 6800073834 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Family Medicine | Current |
Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
201 That Way St
Lake Jackson, TX 77566
Phone (713) 442-3500
215 Oak Dr S
Ste I
Lake Jackson, TX 77566
Phone (713) 970-1170
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200
Interoperability endpoints
- antony.thomas@93142231220228.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K2298 | TX | |
| General Practice Physician | 208D00000X | K2298 | TX | Yes |
Addresses
Primary practice location
215 Oak Dr S Ste I
Lake Jackson, TX 77566-5618
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1S3090901 | Medicaid | TX |
Other providers in Lake Jackson, TX
- The Community Hospital of Brazosport
- The Eye Contact, Inc.
- The Hung Pham,D.D.S., P.a.
- Theory Health Medical PA
- Thomas M Lunsford, MD, Facs, PC
- Chelsea L. Thomas
- Neethu Thomas
- Crystal Nichole Thomason
- Thompson Orthopedic Clinic, PA
- Krysta Danae Thompson
All providers in Lake Jackson, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.