Active NPI
Thomas Fletcher, M.D.
- Vascular & Interventional Radiology Physician
- Austin, TX
National Provider Identifier
1659375434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- G5048
- Practice address
- 12554 Riata Vista Cir
Austin, TX 78727-6431 - Phone
- (512) 795-5100
- Fax
- (512) 795-5122
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | G5048 | TX | Primary |
Addresses
Primary practice location
12554 Riata Vista Cir
Austin, TX 78727-6431
Mailing address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135753502 | Other | TX | CSHCN1 |
| 135753505 | Other | TX | CSHCN2 |
| 135753503 | Medicaid | TX | |
| 135753506 | Medicaid | TX | |
| 300034063 | Other | RRMCARE | |
| 300127511 | Other | RRMCARE2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Orthopedics Sports & Rehabilitation Associates PA | Past | Accepting new patients | |
| Austin Radiological Association | Past | Accepting new patients |
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.
-
- Radiology Clinic/Center
- San Marcos, TX
- NPI 1710964655
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1346244688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1659375434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12554 RIATA VISTA CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276431",
"telephone_number": "512-795-5100",
"fax_number": "512-795-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12554 RIATA VISTA CIR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276431",
"telephone_number": "512-795-5100",
"fax_number": "512-795-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "G5048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN1",
"identifier": "135753502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN2",
"identifier": "135753505",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135753503",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135753506",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE",
"identifier": "300034063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE2",
"identifier": "300127511",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.