Individual provider Active NPI

Melissa Thomas, MD

  • Pediatrics Physician
  • Harlingen, TX
National Provider Identifier
1629574108
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T5225 Issued in TX
Practice address
102 N Nueces Park LN
Harlingen, TX 78552-6235
Phone
(956) 421-2414
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T5225 TX Primary
Pediatrics Physician 208000000X 125.072891 IL

Addresses

Primary practice location

102 N Nueces Park LN
Harlingen, TX 78552-6235

Mailing address

PO Box 534358
Harlingen, TX 78553-4358
Phone (956) 421-2414

Other identifiers 2

IdentifierTypeStateIssuer
T5225OtherTXMEDICAL LICENSE
124.0272891OtherILTEMPORARY MEDICAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210818002716 PA Practitioner - Pediatric Medicine 9537564240 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.072891ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Jul 1, 2021 Accepting new patients
Upmc Altoona CurrentSince Jul 1, 2021 Accepting new patients
Luis E Eguia MD PA PastSince Jul 31, 2022 Accepting new patients
RGV Pediatric Critical Care PA PastSince Jul 31, 2022 Accepting new patients
VHS Harlingen Hospital Company LLC Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

Organizations & group practices 5

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1629574108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534358",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785534358",
            "telephone_number": "956-421-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N NUECES PARK LN",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785526235",
            "telephone_number": "956-421-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T5225",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.072891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "T5225",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY MEDICAL PERMIT",
            "identifier": "124.0272891",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.