Active NPI
Mallory Kimbell Thompson
- Obstetrics & Gynecology Physician
- Live Oak, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R7614
- Practice address
- 12709 Toepperwein Rd Ste 309
Live Oak, TX 78233-3260 - Phone
- (106) 574-0992
- Fax
- (210) 599-9137
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R7614 | TX | Primary |
Addresses
Primary practice location
12709 Toepperwein Rd Ste 309
Live Oak, TX 78233-3260
Mailing address
12709 Toepperwein Rd Ste 309
Live Oak, TX 78233-3260
Phone (106) 574-0992
Other practice location 1
1315 N Ellison Dr
San Antonio, TX 78251-4672
Phone (214) 914-0965
Other practice location 2
3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-2361
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
- Obstetrics/Gynecology
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12709 Toepperwein Rd
Suite 309
Live Oak, TX 78233-3260
Phone (210) 657-4099
Hospital & facility affiliations
- Methodist Hospital Stone Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.86 of 100
- Quality
- 85.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unified Women'S Healthcare of Texas PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Randall Burt MD PA | Current | Accepting new patients | |
| Steven R. Macdonald, M.D., P.a. | Current | Accepting new patients | |
| Methodist Healthcare System of San Antonio LTD LLP | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
12709 Toepperwein Rd
Ste 309
Live Oak, TX 78233
Phone (210) 657-4099
6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777
Interoperability endpoints
- mallory.thompson.1@11541.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Addison, TX
- NPI 1952703373
-
- Specialist
- Plano, TX
- NPI 1336279116
-
- Specialist
- Plano, TX
- NPI 1528198397
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1669891982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12709 TOEPPERWEIN RD STE 309",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333260",
"telephone_number": "106-574-0992",
"fax_number": "210-599-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12709 TOEPPERWEIN RD STE 309",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333260",
"telephone_number": "106-574-0992",
"fax_number": "210-599-9137"
}
],
"practiceLocations": [
{
"address_1": "1315 N Ellison Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782514672",
"country_code": "US",
"telephone_number": "214-914-0965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3500 Gaston Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752462017",
"country_code": "US",
"telephone_number": "214-820-2361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "MALLORY",
"middle_name": "KIMBELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "R7614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.