Individual provider Active NPI

Anthony Jude Calzada Thompson, DO

  • Family Medicine Physician
  • Kingsville, TX
National Provider Identifier
1639178205
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4156 Issued in TX
Practice address
415 S 6TH St
Kingsville, TX 78363-5518
Phone
(361) 664-0145
Fax
(361) 664-2479
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 34007355 OH
Occupational Medicine Physician 2083X0100X N4156 TX
Adult Medicine Physician 207QA0505X N4156 TX
Family Medicine Physician 207Q00000X N4156 TX Primary

Addresses

Primary practice location

415 S 6TH St
Kingsville, TX 78363-5518

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other identifiers 1

IdentifierTypeStateIssuer
287629401MedicaidTX

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
I20110218000807 TX Practitioner - Family PracticePractitioner - Internal Medicine 3375643372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

Practice addresses (Care Compare)

902 Airport Rd
Corpus Christi, TX 78405-3513
Phone (361) 844-7651

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Sep 9, 2014 Accepting new patients
Health and Human Services Commission Family Medicine CurrentSince Feb 6, 2018 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Sep 9, 2014 Accepting new patients
Health and Human Services Commission CurrentSince Feb 6, 2018 Accepting new patients
Diabetes and Endocrinology Clinic PA Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Riverwood Emergency Services Inc. Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

902 Airport Rd
Corpus Christi, TX 78405
Phone (361) 844-7651

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

16403 Huebner Rd
Ste 100
San Antonio, TX 78248
Phone (210) 493-4357

Organizations & group practices 8

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1639178205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 6TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783635518",
            "telephone_number": "361-664-0145",
            "fax_number": "361-664-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANTHONY",
        "middle_name": "JUDE CALZADA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "OH",
            "license": "34007355",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "N4156",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "N4156",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287629401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.