Individual provider Active NPI

Thomas Michael Leath, M. D.

  • Allergy & Immunology Physician
  • Austin, TX
National Provider Identifier
1497767420
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M4273 Issued in TX
Practice address
3410 Far West Blvd
Suite 146
Austin, TX 78731-3194
Phone
(512) 349-0777
Fax
(512) 349-9111
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X M4273 TX
Allergy & Immunology Physician 207K00000X M4273 TX Primary
Allergy Physician 207KA0200X M4273 TX

Addresses

Primary practice location

3410 Far West Blvd
Suite 146
Austin, TX 78731-3194

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other identifiers 1

IdentifierTypeStateIssuer
752741OtherTXMEDICARE PTAN

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
I20070124000294 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2466453196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners of Texas IncGroup PAC ID 0244486157, 22 clinicians

Practice addresses (Care Compare)

3410 Far W Blvd
Suite 146
Austin, TX 78731-3167
Phone (512) 349-0777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of Texas, Inc Allergy & Immunology CurrentSince Jan 31, 2019 Accepting new patients
Allergy Partners of Texas, Inc. Allergy & Immunology CurrentSince Jan 31, 2019 Accepting new patients
Allergy Partners of Texas, Inc Allergy & Immunology Current Accepting new patients
Allergy Partners of Texas, Inc. Allergy & Immunology Past Accepting new patients
Howland Allergy & Asthma PLLC Allergy & Immunology Past Accepting new patients

Locations

11645 Angus Rd
Ste A1
Austin, TX 78759
Phone (512) 345-7635

3410 Far West Blvd
Ste 146
Austin, TX 78731
Phone (512) 349-0777

720 W 34th St
Ste 200
Austin, TX 78705
Phone (512) 422-2247

760 N Shiloh Rd
Garland, TX 75042
Phone (972) 272-4463

970 Hesters Crossing Rd
Ste 100
Round Rock, TX 78681
Phone (512) 248-8864

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1497767420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FAR WEST BLVD",
            "address_2": "SUITE 146",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313194",
            "telephone_number": "512-349-0777",
            "fax_number": "512-349-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATH",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "M4273",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M4273",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "M4273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "752741",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.