Individual provider Active NPI

Peter Sanni-Thomas, D.O.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1700847944
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5124 Issued in TX
Practice address
601 W Sanford St
Arlington, TX 76011-7086
Phone
(817) 920-6300
Fax
(817) 276-9797
NPI assigned
Mar 29, 2006
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L5124 TX
Family Medicine Physician 207Q00000X L5124 TX Primary

Addresses

Primary practice location

601 W Sanford St
Arlington, TX 76011-7086

Mailing address

6417 W. Titan Springs Dr
Spring, TX 77389
Phone (832) 534-8465

Other identifiers 1

IdentifierTypeStateIssuer
156535002MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000111 TX Practitioner - Emergency MedicinePractitioner - Family Practice 3072547157 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5124TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Aug 17, 2014 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Mar 22, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 12, 2017 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Aug 30, 2020 Accepting new patients
Excellence Emergency Hospital Physician PLLC CurrentSince May 17, 2023 Accepting new patients
Community Care Medical Clinics Inc Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1120 Kingwood Dr
Kingwood, TX 77339
Phone (281) 358-8488

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1201 W Frank Ave
#E
Lufkin, TX 75904
Phone (936) 639-7706

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1700847944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 W. TITAN SPRINGS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77389",
            "telephone_number": "832-534-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SANFORD ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760117086",
            "telephone_number": "817-920-6300",
            "fax_number": "817-276-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNI-THOMAS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L5124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156535002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.