NPIMap

Organization Active NPI

Internist Chronic Care Management LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • The Woodlands, TX
National Provider Identifier
1285199448
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
INTERNIST CHRONIC CARE MANAGEMENT LLC
Practice address
110 N Concord Forest Cir
The Woodlands, TX 77381-6600
Phone
(281) 836-3577
Fax
(801) 883-8044
NPI assigned
Feb 1, 2019
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Thimos Paschalis, MD
Title
Physician
Phone
(281) 836-3577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

110 N Concord Forest Cir
The Woodlands, TX 77381-6600

Mailing address

206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Phone (801) 924-8571

National Provider Directory

National Provider Directory

Locations

2849 Paces Ferry Rd SE
Ste 380
Atlanta, GA 30339
Phone (801) 325-0175

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1285199448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-924-8571",
            "fax_number": "801-883-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CONCORD FOREST CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816600",
            "telephone_number": "281-836-3577",
            "fax_number": "801-883-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNIST CHRONIC CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "PASCHALIS",
        "authorized_official_first_name": "THIMOS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-836-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.