Active NPI
Drew Ray Thompson, PA
- Physician Assistant
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TEMPORARY PENDING
- Practice address
- 1651 W. Rosedale, Suite 200
Fort Worth, TX 76104-7437 - Phone
- (817) 335-4316
- Fax
- (817) 332-4465
- NPI assigned
- Jul 6, 2011
- Last updated
- Jan 16, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TEMPORARY PENDING | TX | Primary |
Addresses
Primary practice location
1651 W. Rosedale, Suite 200
Fort Worth, TX 76104-7437
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285932401 | Medicaid | TX | |
| P00975532 | Other | TX | RAILROAD MEDICARE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1651 W Rosedale
Fort Worth, TX 76104-7437
1651 W Rosedale St
Fort Worth, TX 76104-7437
6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY PENDING | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients |
Locations
1651 W Rosedale St
Ste 200
Ft Worth, TX 76104
Phone (817) 335-4316
2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
Interoperability endpoints
- drew.thompson.p1@direct.thc.nextgenshare.com
- dthompson@direct.uspi.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
-
- Obstetrics & Gynecology Physician
- Haltom City, TX
- NPI 1821145764
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
dba Baylor Surgical Hospital at Fort Worth Outpatient Center
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
dba Baylor Scott & White Surgical Hospital - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1598052904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-332-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 W. ROSEDALE, SUITE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047437",
"telephone_number": "817-335-4316",
"fax_number": "817-332-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DREW",
"middle_name": "RAY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "TEMPORARY PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285932401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00975532",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.