Individual provider Active NPI

Thomas Eric Eidson, D.O.

  • Phlebology Physician
  • Arlington, TX
National Provider Identifier
1457598443
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
N9698 Issued in TX
Practice address
2701 Matlock Rd Ste 103
Arlington, TX 76015-2529
Phone
(817) 795-8346
Fax
(817) 717-1840
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 50256 CO
Family Medicine Physician 207Q00000X N9698 TX
Family Medicine Physician 207Q00000X 50256 CO
Phlebology Physician 202K00000X N9698 TX Primary

Addresses

Primary practice location

2701 Matlock Rd Ste 103
Arlington, TX 76015-2529

Mailing address

2701 Matlock Rd Ste 103
Arlington, TX 76015-2529
Phone (817) 795-8346

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
I20120511000193 TX Practitioner - Peripheral Vascular DiseasePractitioner - Family Practice 1658544572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2701 Matlock Rd
Suite 103
Arlington, TX 76015-2529
Phone (817) 795-8436

Hospital & facility affiliations

  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9698TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlasvein PLLC Phlebology CurrentSince Aug 1, 2016 Accepting new patients

Locations

2701 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 795-8346

2705 W Arkansas Ln
Dwg, TX 76016
Phone (817) 701-4253

Interoperability endpoints

  • Direct secure messaging: thomas.eidson.1@31037.direct.athenahealth.com

Organizations & group practices 1

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1457598443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MATLOCK RD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-795-8346",
            "fax_number": "817-717-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MATLOCK RD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-795-8346",
            "fax_number": "817-717-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDSON",
        "first_name": "THOMAS",
        "middle_name": "ERIC",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CO",
            "license": "50256",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9698",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50256",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "N9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.