Active NPI
Wilburn Earl Thomas, D.P.M.
- Podiatrist
- San Antonio, TX
National Provider Identifier
1669530523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1334
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018591001 | Medicaid | TX |
Other names 1
- Wilburn E. Thomas
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
| Removal of nail tissue | 423 |
| Removal or shaving of skin growth | 183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Podiatry Group of South Texas, P.a. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Durable Medical Equipment & Medical Supplies
- New Braunfels, TX
- NPI 1972951598
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.