Individual provider Active NPI

Elizabeth Rachel Thomas, DO

  • Pediatrics Physician
  • Carrollton, TX
National Provider Identifier
1386835569
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N6067 Issued in TX
Practice address
3044 Old Denton Rd
Suite 138
Carrollton, TX 75007-5016
Phone
(972) 245-0007
Fax
(972) 245-9272
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N6067 TX Primary

Addresses

Primary practice location

3044 Old Denton Rd
Suite 138
Carrollton, TX 75007-5016

Mailing address

7800 Preston Rd
Suite 300
Plano, TX 75024-3234
Phone (972) 608-3800

Other identifiers 5

IdentifierTypeStateIssuer
4728983315OtherMYUTMB 4728983315
213246602MedicaidTX
213246601MedicaidTX
213246603MedicaidTX
213246604MedicaidTX

Other names 1

  • Dr. Elizabeth Rachel George Former name

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
I20190313000508 TX Practitioner - Pediatric Medicine 3274873120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complex Care Medical Services CorporationGroup PAC ID 4981919800, 5 clinicians

Practice addresses (Care Compare)

2350 N Stemmons Fwy F2450
Dallas, TX 75207-2700
Phone (469) 488-7200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complex Care Medical Services Corporation Pediatrics CurrentSince Oct 1, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics PastSince Oct 1, 2021 Accepting new patients

Locations

2350 N Stemmons Fwy
#F2450
Dallas, TX 75207
Phone (469) 488-7200

1935 Medical District Dr
Ste EL171
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1386835569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 PRESTON RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243234",
            "telephone_number": "972-608-3800",
            "fax_number": "972-526-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD",
            "address_2": "SUITE 138",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075016",
            "telephone_number": "972-245-0007",
            "fax_number": "972-245-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ELIZABETH",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4728983315",
            "identifier": "4728983315",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213246602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213246601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213246603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213246604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GEORGE",
            "middle_name": "RACHEL",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.