Individual provider Active NPI

Jon Stephen Tompkins, D.O.

  • Internal Medicine Physician
  • Mt Pleasant, TX
National Provider Identifier
1619960168
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D-4869 Issued in TX
Practice address
2001 N Jefferson Ave
Suite 204
Mt Pleasant, TX 75455-2371
Phone
(903) 577-7003
Fax
(903) 577-3933
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D-4869 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave
Suite 204
Mt Pleasant, TX 75455-2371

Mailing address

2001 N Jefferson Ave
Suite 204
Mt Pleasant, TX 75455-2371
Phone (903) 577-7003

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
I20100113000175 TX Practitioner - Internal MedicinePractitioner - Allergy/Immunology 6103879184 Practice locations: Dallas, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D-4869TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619960168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 204",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552371",
            "telephone_number": "903-577-7003",
            "fax_number": "903-577-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "address_2": "SUITE 204",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552371",
            "telephone_number": "903-577-7003",
            "fax_number": "903-577-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "JON",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D-4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

Sources for this page

Verify at the official NPI Registry.