Active NPI
Robert Knox Thompson III, M.D.
- Vascular Surgery Physician
- San Antonio, TX
National Provider Identifier
1437155405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G7953
- Practice address
- 18626 Hardy Oak Blvd.
Suite 209
San Antonio, TX 78258-4219 - Phone
- (210) 483-8822
- Fax
- (210) 483-8866
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | G7953 | TX | Primary |
Addresses
Primary practice location
18626 Hardy Oak Blvd.
Suite 209
San Antonio, TX 78258-4219
Mailing address
610 North Main, Second Floor
San Antonio, TX 78205-1204
Phone (210) 237-4444
Other practice location 1
8811 Village Dr
Ste 150
San Antonio, TX 78217-5415
Phone (210) 656-5098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124725603 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G7953 | TX | MD | Vascular Surgery Physician |
Interoperability endpoints
- robertthompson@pvapa.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1437155405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 NORTH MAIN, SECOND FLOOR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051204",
"telephone_number": "210-237-4444",
"fax_number": "210-828-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18626 HARDY OAK BLVD.",
"address_2": "SUITE 209",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584219",
"telephone_number": "210-483-8822",
"fax_number": "210-483-8866"
}
],
"practiceLocations": [
{
"address_1": "8811 Village Dr",
"address_2": "Ste 150",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782175415",
"country_code": "US",
"telephone_number": "210-656-5098",
"fax_number": "210-656-5219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROBERT",
"middle_name": "KNOX",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "G7953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124725603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.