NPIMap

Individual provider Active NPI

Thomas S Delizio, MD

  • Family Medicine Physician
  • Electra, TX
National Provider Identifier
1316938426
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0285 Issued in TX
Practice address
1207 S Bailey St
Electra, TX 76360-3221
Phone
(940) 495-4215
Fax
(940) 495-3171
NPI assigned
Oct 31, 2005
Last updated
May 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0285 TX Primary

Addresses

Primary practice location

1207 S Bailey St
Electra, TX 76360-3221

Mailing address

1207 S Bailey St
PO Box 1112
Electra, TX 76360-3221
Phone (940) 495-4215

Other identifiers 3

IdentifierTypeStateIssuer
00558DOtherTXBLUE CROSS
080126386OtherTXRAILROAD MEDICARE PIN
096726702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000315 TX Practitioner - Family Practice 2264595438 Reassigns benefits to 2 organizations
Practice locations: Electra, TX; Iowa Park, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Electra Hospital DistrictGroup PAC ID 6507769494, shared by 11 NPIs, 8 clinicians

Practice addresses (Care Compare)

1207 S Bailey St
Electra, TX 76360-3221
Phone (940) 495-3981

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Electra Hospital District CurrentSince Apr 7, 2021 Accepting new patients
Electra Hospital District Current Accepting new patients
Electra Hospital District CurrentSince Apr 7, 2021 Accepting new patients
Electra Hospital District Current Accepting new patients
Electra Hospital District Past Accepting new patients
Electra Hospital District Past Accepting new patients

Locations

1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: tdelizio13652@unitedregional.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Electra Healthcare CenterElectra, TX, CCN 675021 Skilled nursing facility Other
Adp of the SNF		 Jun 1, 2024
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1316938426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "address_2": "PO BOX 1112",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221",
            "telephone_number": "940-495-4215",
            "fax_number": "940-495-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221",
            "telephone_number": "940-495-4215",
            "fax_number": "940-495-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIZIO",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00558D",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "080126386",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096726702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Electra, TX

Sources for this page

Verify at the official NPI Registry.