Active NPI
Jelix Ambattu Thomas
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- T0017
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429707901 | Medicaid | TX |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| T0017 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Blue Stone JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| American Radiology Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | Accepting new patients | |
| Btdi JV LLP | Current | 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.
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1669425195
-
- Physiological Laboratory
- Irving, TX
- NPI 1811357114
-
- Physiological Laboratory
- Mesquite, TX
- NPI 1073951414
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1154769503
-
- Physiological Laboratory
- Dallas, TX
- NPI 1225476658
-
- Physiological Laboratory
- Hurst, TX
- NPI 1245678697
-
- Physiological Laboratory
- Plano, TX
- NPI 1255779690
-
- Physiological Laboratory
- Southlake, TX
- NPI 1265870604
-
- Physiological Laboratory
- Dallas, TX
- NPI 1275971616
-
- Physiological Laboratory
- Arlington, TX
- NPI 1326518341
-
- Physiological Laboratory
- Burleson, TX
- NPI 1508204959
-
- Physiological Laboratory
- Lewisville, TX
- NPI 1528406964
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1386647717
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.