Daisy Thomas-Gobalakrishna, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M0946 Issued in TX

Practice address

400 Mid Cities Blvd
Hurst, TX 76054-2430

Phone

(817) 428-7300

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dixdowell and AssociatesGroup PAC ID 2163485996, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Denton Hospital, Denton, TX, CCN 450634

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daisy.thomas-gobalakrish@160177656168452.direct.elationemr.com

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.

• Dixdowell & Associates

  • Family Medicine Physician
  • Corinth, TX
  • NPI 1639394695
  Medicare reassignment Care Compare group NPD
• Central Texas Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1689304420
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1508884099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9101",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750199494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-428-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-GOBALAKRISHNA",
        "first_name": "DAISY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Black Church Resource Group Inc.
• The Charming Therapy Co., PLLC
• The Healthcare Store, Inc
• The Wellness and Holistic Center
• Therapeuo Wellness Center
• Becky Yvonne Thomas, COSMETOLOGIST
• Lincy Anthony Thomas, NP-C
• Shane Lucas Tibiletti, OD
• Quinta-Rita Tita, NP
• TMC Hurst MC LLC

• Family Medicine Physician in Hurst, TX
• Providers in Hurst, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.