Individual provider Active NPI

Thomas E Marshall, MD

  • Ophthalmology Physician
  • Baytown, TX
National Provider Identifier
1376571687
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H0603 Issued in TX
Practice address
1025 Birdsong Dr Ste a
Baytown, TX 77521-3771
Phone
(281) 422-2020
Fax
(281) 422-4959
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 H0603 TX Primary

Addresses

Primary practice location

1025 Birdsong Dr Ste a
Baytown, TX 77521-3771

Mailing address

21502 Merchants Way
Katy, TX 77449-2517
Phone (281) 944-2232

Other identifiers 1

IdentifierTypeStateIssuer
125529103MedicaidTX

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
I20101027001358 TX Practitioner - Ophthalmology 9234211095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

Hospital & facility affiliations

  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0603TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince Jun 5, 2023 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince Jun 5, 2023 Accepting new patients
Clear Lake Eye Center LLP Past Accepting new patients

Locations

1025 Birdsong Dr
Ste A
Baytown, TX 77521
Phone (281) 422-2020

4301 Garth Rd
Ste 100
Baytown, TX 77521
Phone (281) 422-2020

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

21502 Merchants Way
Katy, TX 77449
Phone (281) 579-6777

Interoperability endpoints

  • Direct secure messaging: tmarshall@direct.berkeleyeye.com

Organizations & group practices 3

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 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1376571687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492517",
            "telephone_number": "281-944-2232",
            "fax_number": "281-944-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 BIRDSONG DR STE A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213771",
            "telephone_number": "281-422-2020",
            "fax_number": "281-422-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H0603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125529103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.