Active NPI
Thomas Ebanja, MD
- Anesthesiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- V8611
- Practice address
- 1310 McCullough Ave
San Antonio, TX 78212-5601 - Phone
- (212) 757-2200
- NPI assigned
- Mar 22, 2021
- Last updated
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | V8611 | TX | Primary |
Addresses
Primary practice location
1310 McCullough Ave
San Antonio, TX 78212-5601
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (570) 867-0773
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rutgers New Jersey Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 Bunton Creek Rd
Suite 201
Kyle, TX 78640-5701
Phone (888) 851-4642
423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Anesthesia Partners PLLC | Single Specialty | Current | Accepting new patients |
| Ad of Texas PLLC | Single Specialty | Current | Accepting new patients |
Locations
6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300
135 Bunton Creek Rd
Ste 201
Kyle, TX 78640
Phone (512) 314-5438
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Metropolitan Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
dba Methodist Specialty and Transplant Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1629654314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "570-867-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MCCULLOUGH AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125601",
"telephone_number": "212-757-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBANJA",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TX",
"license": "V8611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.