Individual provider Active NPI

Thomas Eric Hansen, M.D.

  • Orthopaedic Surgery Physician
  • North Richland Hills, TX
National Provider Identifier
1487695037
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-115297 Issued in IL
Practice address
4375 Booth Calloway Rd
Suite 410
North Richland Hills, TX 76180-8359
Phone
(817) 616-0384
Fax
(817) 616-0388
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-115297 IL Primary

Addresses

Primary practice location

4375 Booth Calloway Rd
Suite 410
North Richland Hills, TX 76180-8359

Mailing address

4375 Booth Calloway Rd
Suite 410
North Richland Hills, TX 76180-8359
Phone (817) 616-0384

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
I20111111000648 TX Practitioner - Orthopedic Surgery 3577569003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Buffalo School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

4444 Heritage Trace Pkwy
Suite 408
Fort Worth, TX 76244-8944
Phone (817) 283-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115297ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics of Irving PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

4444 Heritage Trace Pkwy
Ste 408
Fort Worth, TX 76244
Phone (817) 283-5252

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4351 Booth Calloway Rd
Ste 303
North Richland Hills, TX 76180
Phone (214) 496-9701

Interoperability endpoints

  • Direct secure messaging: thomas.hansen@hca7.eclinicaldirectplus.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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1487695037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "SUITE 410",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-616-0384",
            "fax_number": "817-616-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD",
            "address_2": "SUITE 410",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808359",
            "telephone_number": "817-616-0384",
            "fax_number": "817-616-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "THOMAS",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-115297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.