Individual provider Active NPI

Thomas Collins-Pallett, M.D.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1669834305
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A169192 Issued in CA
Practice address
46690 Mohave Dr
Fremont, CA 94539-7001
Phone
(510) 248-1065
Fax
(510) 661-0380
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10618400 NJ
Family Medicine Physician 207Q00000X A169192 CA Primary

Addresses

Primary practice location

46690 Mohave Dr
Fremont, CA 94539-7001

Mailing address

46690 Mohave Dr
Fremont, CA 94539-7001
Phone (510) 248-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201027001411 CA Practitioner - Family Practice 7719214162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

46690 Mohave Dr
Fremont, CA 94539-7001
Phone (510) 651-2371

Hospital & facility affiliations

  • Care in Touch Home Health Agency Home health agency, Fremont, CA, CCN 059554
  • Prohealth Home Care, Inc Home health agency, San Jose, CA, CCN 058415
  • Amore Home Health Home health agency, Fremont, CA, CCN 059509
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169192CAMDFamily Medicine Physician
25MA10618400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Washington Township Medical Foundation CurrentSince Oct 1, 2020 Accepting new patients
Washington Township Medical Group Family Medicine Past Accepting new patients

Locations

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

46690 Mohave Dr
Fremont, CA 94539
Phone (510) 248-1065

2287 Mowry Ave
Ste C
Fremont, CA 94538
Phone (510) 248-1700

2500 Mowry Ave
Ste 255
Fremont, CA 94538

33077 Alvarado Niles Rd
Union City, CA 94587
Phone (510) 248-1500

Interoperability endpoints

  • Direct secure messaging: tcollinspallett125713@direct.whhs.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1669834305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46690 MOHAVE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397001",
            "telephone_number": "510-248-1065",
            "fax_number": "510-661-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46690 MOHAVE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397001",
            "telephone_number": "510-248-1065",
            "fax_number": "510-661-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-PALLETT",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10618400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A169192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.