Active NPI
Timothy Kevin Thomas, M.D.
- Surgery Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G3850
- Practice address
- 2945 Southwest Pkwy
Wichita Falls, TX 76308-4145 - Phone
- (940) 687-8000
- Fax
- (940) 687-7005
- NPI assigned
- Sep 6, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G3850 | TX | Primary |
Addresses
Primary practice location
2945 Southwest Pkwy
Wichita Falls, TX 76308-4145
Mailing address
2945 Southwest Pkwy
Wichita Falls, TX 76308-4145
Phone (940) 687-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114474304 | Medicaid | TX |
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
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 11TH St
Wichita Falls, TX 76301-4388
2945 Southwest Pkwy
Wichita Falls, TX 76308-4145
Phone (940) 687-8000
Hospital & facility affiliations
- United Regional Health Care System
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.03 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 76.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 26 |
| Mastectomy | 14 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3850 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Texoma PLLC | Current | Accepting new patients | |
| United Regional Health Care System Inc | Current | Accepting new patients | |
| United Regional Physician Group | Surgery | Past | Accepting new patients |
Locations
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- tthomas14848@unitedregional.medalliesdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice of Wichita Falls | Hospice | Corporate Director | Jan 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Wichita Falls, TX
- NPI 1770583254
Corporate Director
Organizations & group practices 3
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.
-
- Trauma Surgery Physician
- Wichita Falls, TX
- NPI 1841698453
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1669466694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 SOUTHWEST PKWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763084145",
"telephone_number": "940-687-8000",
"fax_number": "940-687-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 SOUTHWEST PKWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763084145",
"telephone_number": "940-687-8000",
"fax_number": "940-687-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TIMOTHY",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G3850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114474304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.