Individual provider Active NPI

Tom Talbert, M.D.

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1366420333
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3836 Issued in TX
Practice address
3006 McNiel Ave
Wichita Falls, TX 76309-4954
Phone
(940) 696-7511
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3836 TX Primary
Occupational Medicine Physician 2083X0100X G3836 TX

Addresses

Primary practice location

3006 McNiel Ave
Wichita Falls, TX 76309-4954

Mailing address

PO Box 331
Wichita Falls, TX 76307-0331
Phone (940) 642-6273

Other identifiers 1

IdentifierTypeStateIssuer
0390437-01MedicaidTX

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
I20090316000645 TX Practitioner - Family Practice 9436236148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tom S Talbert MD PLLCGroup PAC ID 0345527446, 2 clinicians

Practice addresses (Care Compare)

3006 McNiel Ave
Wichita Falls, TX 76309-4954
Phone (940) 696-7511

Hospital & facility affiliations

  • Hospice of Wichita Falls Hospice, Vernon, TX, CCN 451526
  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tom S Talbert MD PLLC Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Hospice of Wichita Falls, Inc. CurrentSince Feb 21, 2024 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Center for Family Medicine,PA Family Medicine Past Accepting new patients

Locations

4909 Johnson Rd
Wichita Falls, TX 76310
Phone (940) 691-0982

1500 Brook Ave
Wichita Falls, TX 76301
Phone (832) 257-0113

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: ttalbert14818@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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 2

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1366420333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763070331",
            "telephone_number": "940-642-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 MCNIEL AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094954",
            "telephone_number": "940-696-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "TOM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3836",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G3836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390437-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.