Individual provider Active NPI

Wilburn Earl Thomas, D.P.M.

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1669530523
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1334 Issued in TX
Practice address
4320 S Gevers St
Suite 300
San Antonio, TX 78223-2216
Phone
(210) 533-4455
Fax
(210) 533-4414
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1334 TX Primary
Public Medicine Podiatrist 213EP0504X 1334 TX
Primary Podiatric Medicine Podiatrist 213EP1101X 1334 TX
Radiology Podiatrist 213ER0200X 1334 TX
Sports Medicine Podiatrist 213ES0000X 1334 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1334 TX
Foot Surgery Podiatrist 213ES0131X 1334 TX

Addresses

Primary practice location

4320 S Gevers St
Suite 300
San Antonio, TX 78223-2216

Mailing address

4320 S Gevers St
Suite 300
San Antonio, TX 78223-2216
Phone (210) 533-4455

Other identifiers 1

IdentifierTypeStateIssuer
018591001MedicaidTX

Other names 1

  • Wilburn E. Thomas Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000186 TX Practitioner - Podiatry 6406827872 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4320 S Gevers
Suite 300
San Antonio, TX 78223-2218

4320 S Gevers St
Suite 300
San Antonio, TX 78223-2218
Phone (210) 533-4455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of nail tissue423
Removal or shaving of skin growth183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Podiatry Group of South Texas, P.a. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHJDD/Endpoint/HDHJDD

Organizations & group practices 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1669530523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S GEVERS ST",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232216",
            "telephone_number": "210-533-4455",
            "fax_number": "210-533-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S GEVERS ST",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232216",
            "telephone_number": "210-533-4455",
            "fax_number": "210-533-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WILBURN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1334",
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "TX",
            "license": "1334",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1334",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "TX",
            "license": "1334",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1334",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1334",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018591001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILBURN",
            "last_name": "THOMAS",
            "middle_name": "E.",
            "credential": "D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.