Individual provider Active NPI

Pat A. Thomas, D.O.

  • Family Medicine Physician
  • Granbury, TX
National Provider Identifier
1629163829
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8960 Issued in TX
Practice address
701 Paluxy Rd
Granbury, TX 76048-2355
Phone
(817) 573-4585
Fax
(817) 279-1153
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E8960 TX Primary

Addresses

Primary practice location

701 Paluxy Rd
Granbury, TX 76048-2355

Mailing address

701 Paluxy Rd
Granbury, TX 76048-2355
Phone (817) 573-4585

Other identifiers 1

IdentifierTypeStateIssuer
122763911MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pat.thomas.1@1293.direct.athenahealth.com

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
I20101112000526 TX Practitioner - Family Practice 8426181025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8960TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group Family Medicine CurrentSince Jun 20, 2016 Accepting new patients
Hood Medical Group CurrentSince Jun 20, 2016 Accepting new patients

Locations

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

701 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-4585

Interoperability endpoints

  • Direct secure messaging: pat.thomas.1@1293.direct.athenahealth.com

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1629163829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482355",
            "telephone_number": "817-573-4585",
            "fax_number": "817-279-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482355",
            "telephone_number": "817-573-4585",
            "fax_number": "817-279-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PAT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122763911",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pat.thomas.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "701 Paluxy Rd",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760482355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.