Individual provider Active NPI

Jason M Thomas, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Jbsa-Fort Sam Houston, TX
National Provider Identifier
1396135083
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
29759 Issued in NE
Practice address
San Antonio Military Medical Center, McHe-ZDM-P
Pulmonary/Critical Care, 3551 Roger Brooke Dr
Jbsa-Fort Sam Houston, TX 78234
Phone
(210) 916-2153
Fax
(210) 916-0709
NPI assigned
Feb 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.135308 OH
Internal Medicine Physician 207R00000X 29759 NE
General Practice Physician 208D00000X 29759 NE
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 29759 NE Primary

Addresses

Primary practice location

San Antonio Military Medical Center, McHe-ZDM-P
Pulmonary/Critical Care, 3551 Roger Brooke Dr
Jbsa-Fort Sam Houston, TX 78234

Mailing address

San Antonio Military Medical Center, 959 Mdos/Sgo5P
Pulmonary/Critical Care, 3551 Roger Brooke Dr
Jbsa-Fort Sam Houston, TX 78234-4504
Phone (210) 916-2153

Other identifiers 1

IdentifierTypeStateIssuer
0330051MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230309002167 NE Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6406160357 Reassigns benefits to 1 organization
I20240513003035 TX Practitioner - Internal Medicine 6406160357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Intensivists PLLCGroup PAC ID 8921446345, 20 clinicians

Practice addresses (Care Compare)

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.135308OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Mar 15, 2023 Accepting new patients
Central Texas Intensivists, PLLC Internal Medicine CurrentSince Apr 8, 2024 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Interoperability endpoints

  • Direct secure messaging: jthomas819562@direct.centracare.com

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.

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1396135083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN ANTONIO MILITARY MEDICAL CENTER, 959 MDOS/SGO5P",
            "address_2": "PULMONARY/CRITICAL CARE, 3551 ROGER BROOKE DR",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2153",
            "fax_number": "210-916-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN ANTONIO MILITARY MEDICAL CENTER, MCHE-ZDM-P",
            "address_2": "PULMONARY/CRITICAL CARE, 3551 ROGER BROOKE DR",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-2153",
            "fax_number": "210-916-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.135308",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "29759",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "29759",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NE",
            "license": "29759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.