Individual provider Active NPI

Robert Knox Thompson III, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1437155405
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G7953 Issued in TX
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

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
124725603MedicaidTX

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G7953TXMDVascular Surgery Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.