Individual provider Active NPI

Nassir Maath Ahmad Thalji, MBCHB

  • Transplant Surgery Physician
  • San Antonio, TX
National Provider Identifier
1316326705
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
T9514 Issued in TX
Practice address
8201 Ewing Halsell Dr FL 2
San Antonio, TX 78229-3707
Phone
(210) 575-4837
Fax
(210) 575-8480
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T9514 TX
Transplant Surgery Physician 204F00000X T9514 TX Primary

Addresses

Primary practice location

8201 Ewing Halsell Dr FL 2
San Antonio, TX 78229-3707

Mailing address

8201 Ewing Halsell Dr FL 2
San Antonio, TX 78229-3707
Phone (105) 754-8372

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
I20221020002825 TX Practitioner - General Surgery 6103137815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

8201 Ewing Halsell Dr
2ND Floor
San Antonio, TX 78229-3707
Phone (210) 575-8425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
71.92
Promoting interoperability
99
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T9514TXMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Transplant Surgery CurrentSince Oct 1, 2022 Accepting new patients
St Davids Heart & Vascular, PLLC PastSince Sep 4, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

8201 Ewing Halsell Dr
Fl 2
San Antonio, TX 78229
Phone (210) 575-4837

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/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.

Hospital & facility affiliations 3

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1316326705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 EWING HALSELL DR FL 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293707",
            "telephone_number": "105-754-8372",
            "fax_number": "210-575-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 EWING HALSELL DR FL 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293707",
            "telephone_number": "210-575-4837",
            "fax_number": "210-575-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALJI",
        "first_name": "NASSIR",
        "middle_name": "MAATH AHMAD",
        "credential": "MBCHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T9514",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "T9514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.