Individual provider Active NPI

Thomas Chong

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1619210903
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
S8539 Issued in TX
Practice address
6621 Fannin St, MC Wb100
Houston, TX 77030-2399
Phone
(832) 824-5105
Fax
(618) 226-2270
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X S8539 TX Primary

Addresses

Primary practice location

6621 Fannin St, MC Wb100
Houston, TX 77030-2399

Mailing address

6621 Fannin St, MC Wb100
Houston, TX 77030-2399
Phone (832) 824-5105

Other practice location 1

10833 Le Conte Ave Rm B186
Los Angeles, CA 90095
Phone (310) 307-8707

Other practice location 2

1200 N State St
CT Room A7E
Los Angeles, CA 90033-1029
Phone (323) 409-7154

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
I20200624003497 TX Practitioner - Pathology 3072877257 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Childrens Hospital Anatomic Pathology & Clinical Pathology CurrentSince Apr 6, 2020 Accepting new patients
Texas Childrens Hospital Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

6621 Fannin St
#100
Houston, TX 77030
Phone (832) 824-5105

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

17600 Interstate 45 S
Ste WL270
The Woodlands, TX 77384
Phone (936) 267-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1619210903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST, MC WB100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302399",
            "telephone_number": "832-824-5105",
            "fax_number": "618-226-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST, MC WB100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302399",
            "telephone_number": "832-824-5105",
            "fax_number": "618-226-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave Rm B186",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90095",
            "country_code": "US",
            "telephone_number": "310-307-8707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St",
            "address_2": "CT Room A7E",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-409-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "S8539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.