Individual provider Active NPI

Kleesy L Thomas, MD

  • Dermatology Physician
  • Abilene, TX
National Provider Identifier
1487032462
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S0108 Issued in TX
Practice address
3190 Antilley Rd
Abilene, TX 79606
Phone
(325) 672-5603
Fax
(325) 672-6570
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S0108 TX Primary

Addresses

Primary practice location

3190 Antilley Rd
Abilene, TX 79606

Mailing address

3190 Antilley Rd
Abilene, TX 79606-5006
Phone (325) 672-5603

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
I20190624001002 TX Practitioner - Dermatology 0244538635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abilene Dermatology and Skin Surgery Center PCGroup PAC ID 0143306498, 5 clinicians

Practice addresses (Care Compare)

3190 Antilley Rd
Abilene, TX 79606-5006
Phone (325) 672-9211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of skin lesions2407
Removal of skin cancer650
Removal of nail tissue1-10
Removal or shaving of skin growth54
Skin biopsy398

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S0108TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Dermatology and Skin Surgery Center PC Dermatology CurrentSince Jul 29, 2019 Accepting new patients
Craig D. Urban, MD PA PastSince Jul 29, 2019 Accepting new patients

Locations

3190 Antilley Rd
Abilene, TX 79606
Phone (325) 672-5603

Interoperability endpoints

  • Direct secure messaging: kleesy.thomas@direct.myteamcare.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 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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1487032462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065006",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-672-5603",
            "fax_number": "325-672-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KLEESY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S0108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.