Individual provider Active NPI

Jelix Ambattu Thomas

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1518429323
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T0017 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(214) 820-0111
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X T0017 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

3500 Gaston Ave
Dallas, TX 75246-2017

Other practice location 1

1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-4951

Other identifiers 1

IdentifierTypeStateIssuer
429707901MedicaidTX

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
I20211015000401 TX Practitioner - Diagnostic Radiology 3870924152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0017TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jul 20, 2025 Accepting new patients
Btdi JV LLP CurrentSince Oct 15, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2025 Accepting new patients
Blue Stone JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2025 Accepting new patients
Btdi JV, LLP CurrentSince Jun 20, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Jun 25, 2025 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2025 Accepting new patients
Btdi JV LLP CurrentSince Aug 15, 2025 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2026 Accepting new patients

Locations (25 of 33)

4450 Sojourn Dr
Ste 200
Addison, TX 75001
Phone (469) 850-5760

1010 S Coulter St
Amarillo, TX 79106
Phone (806) 418-8870

1441 W Jefferson Blvd
Dallas, TX 75208

5800 E Lovers Ln
Dallas, TX 75206
Phone (214) 324-6100

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

3500 Gaston Ave
Dallas, TX 75246

13350 Ti Blvd
Ste 327
Dallas, TX 75243
Phone (972) 817-6200

6080 N Central Expy
Ste 100
Dallas, TX 75206
Phone (214) 827-3610

9109 N Central Expy
Ste 100
Dallas, TX 75231

3410 Worth St
Ste 400
Dallas, TX 75246
Phone (214) 370-1000

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3900 Junius St
Ste 100
Dallas, TX 75246
Phone (214) 820-6900

1110 Parker Sq
Flower Mound, TX 75028
Phone (972) 724-1707

5550 Warren Pkwy
Ste 100
Frisco, TX 75034
Phone (214) 618-0808

900 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 921-6166

2740 N State Highway 360
Grand Prairie, TX 75050

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

400 W Lyndon B Johnson Fwy
Irving, TX 75063
Phone (972) 868-4000

1110 Cottonwood Ln
Ste 200
Irving, TX 75038
Phone (972) 258-7417

5268 W University Dr
McKinney, TX 75071
Phone (469) 764-3400

1575 Interstate 30
Mesquite, TX 75150
Phone (469) 800-2800

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1518429323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JELIX",
        "middle_name": "AMBATTU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T0017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429707901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.