Individual provider Active NPI

Robert Wayne Thompson Jr., M.D.

  • Ophthalmology Physician
  • Shawnee, KS
National Provider Identifier
1366432361
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0429611 Issued in KS
Practice address
11005 W 60TH St Ste 210
Shawnee, KS 66203-2789
Phone
(913) 631-7700
Fax
(913) 631-8080
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0429611 KS Primary

Addresses

Primary practice location

11005 W 60TH St Ste 210
Shawnee, KS 66203-2789

Mailing address

11005 W 60TH St Ste 210
Shawnee, KS 66203-2789
Phone (913) 631-7700

Other identifiers 1

IdentifierTypeStateIssuer
200004910AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20070216000552 KS Practitioner - Ophthalmology 9830175801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Eye Clinic, P.a.Group PAC ID 4789786021, 2 clinicians

Practice addresses (Care Compare)

11005 W 60TH St
Suite 210
Shawnee, KS 66203-2789
Phone (913) 631-7700

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0429611KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Eye Clinic PA CurrentSince Jan 1, 2007 Accepting new patients
Primesource Healthcare Systems, Inc. Past Accepting new patients
Corneal Consultants of Indiana Ophthalmology Past Accepting new patients
Kansas City Eye Clinic, P.a. Ophthalmology Past Accepting new patients
Primesource Healthcare Systems, Inc. Past Accepting new patients
Primesource Healthcare Systems, Inc. Past Accepting new patients

Locations

11005 W 60th St
Ste 210
Shawnee, KS 66203
Phone (913) 631-7700

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-priceeye

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1366432361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 W 60TH ST STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032789",
            "telephone_number": "913-631-7700",
            "fax_number": "913-631-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 W 60TH ST STE 210",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032789",
            "telephone_number": "913-631-7700",
            "fax_number": "913-631-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0429611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004910A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.