Active NPI
Thomas M. Deas, M.D.
- Gastroenterology Physician
- Fort Worth, TX
National Provider Identifier
1609867324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G0688
- Practice address
- 1701 River Run Ste 902
Fort Worth, TX 76107 - Phone
- (817) 529-8303
- Fax
- (817) 529-8287
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G0688 | TX | Primary |
Addresses
Primary practice location
1701 River Run Ste 902
Fort Worth, TX 76107
Mailing address
1701 River Run Ste 902
Fort Worth, TX 76107
Phone (817) 529-8303
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115895802 | Medicaid | TX | |
| 85Y014 | Other | BCBS | |
| 4140223 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0688 | TX | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1609867324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 RIVER RUN STE 902",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-529-8303",
"fax_number": "817-529-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RIVER RUN STE 902",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-529-8303",
"fax_number": "817-529-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAS",
"first_name": "THOMAS",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "G0688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115895802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85Y014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4140223",
"state": null
}
],
"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 Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.