Individual provider Active NPI

Tom Gerald Mayer, M.D.

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1629034137
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G1105 Issued in TX
Practice address
5701 Maple Ave
Ste. 100
Dallas, TX 75235-6519
Phone
(214) 351-6600
Fax
(214) 351-5046
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G1105 TX Primary

Addresses

Primary practice location

5701 Maple Ave
Ste. 100
Dallas, TX 75235-6519

Mailing address

5701 Maple Ave
Ste. 100
Dallas, TX 75235-6519
Phone (214) 351-6600

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
I20090709000250 TX Practitioner - Orthopedic SurgeryPractitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 9234281080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Physical Medicine and Rehabilitation
Education
Columbia University College of Physicians and Surgeons, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Recovery Associates, PLLCGroup PAC ID 4587973383, 2 clinicians

Practice addresses (Care Compare)

7929 Brookriver Dr
Suite 400
Dallas, TX 75247-4947
Phone (214) 351-6600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Recovery Associates, PLLC CurrentSince Feb 13, 2014 Accepting new patients

Locations

7929 Brookriver Dr
Ste 400
Dallas, TX 75247
Phone (214) 351-6600

5701 Maple Ave
Ste 100
Dallas, TX 75235
Phone (214) 351-6600

6000 Western Pl
Ste 501
Ft Worth, TX 76107
Phone (214) 351-6600

Organizations & group practices 1

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1629034137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 MAPLE AVE",
            "address_2": "STE. 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356519",
            "telephone_number": "214-351-6600",
            "fax_number": "214-351-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 MAPLE AVE",
            "address_2": "STE. 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356519",
            "telephone_number": "214-351-6600",
            "fax_number": "214-351-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "TOM",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.