Active NPI
Thayil, Inc
- Internal Medicine Physician
- Live Oak, TX
National Provider Identifier
1497986137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- THAYIL, INC
- Practice address
- 11901 Toepperwein Rd Ste 1402
Live Oak, TX 78233-3160 - Phone
- (210) 599-3840
- Fax
- (210) 590-6997
- NPI assigned
- Jul 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph John Thayil, MD
- Title
- President
- Phone
- (210) 646-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
11901 Toepperwein Rd Ste 1402
Live Oak, TX 78233-3160
Mailing address
P.O. Box 780566
San Antonio, TX 78278-0566
Phone (210) 646-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091116000161 | TX | Part B Supplier - Clinic/Group Practice | 6305984147 |
Receives reassigned benefits from 1 practitioner Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryLocations
11901 Toepperwein Rd
Ste 1100
Live Oak, TX 78233
Phone (210) 276-0170
4129 Naco Perrin Blvd
San Antonio, TX 78217
Phone (210) 722-8106
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1275528978
TX
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1417283748
-
- Family Medicine Physician
- Boerne, TX
- NPI 1558318378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322784000000",
"number": "1497986137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 780566",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782780566",
"telephone_number": "210-646-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 TOEPPERWEIN RD STE 1402",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333160",
"telephone_number": "210-599-3840",
"fax_number": "210-590-6997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAYIL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-29",
"last_updated": "2011-12-02",
"status": "A",
"authorized_official_last_name": "THAYIL",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-646-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.