Ike Clayton Thacker, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

L7215 Issued in TX

Practice address

3500 Gaston Ave
Dallas, TX 75246

Phone

(214) 826-8822

Fax

(214) 926-9792

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Diagnostic Radiology

Education

University of Texas Medical Branch at Galveston, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Radiology Consultants PLLCGroup PAC ID 6709868409, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537

Merit-based Incentive Payment System (MIPS)

Final score

93.26 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 49)

Interoperability endpoints

• Direct secure messaging: ithacker237657@direct.sw.org
• Direct secure messaging: ithacker@direct.uspi.com

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.

• American Radiology Consultants PLLC

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1669425195
  Medicare reassignment Care Compare group NPD
• Blue Stone JV LLP

  • Physiological Laboratory
  • Irving, TX
  • NPI 1811357114
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Mesquite, TX
  • NPI 1073951414
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1154769503
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1225476658
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Hurst, TX
  • NPI 1245678697
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Plano, TX
  • NPI 1255779690
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Southlake, TX
  • NPI 1265870604
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Burleson, TX
  • NPI 1508204959
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1568800092
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Grand Prairie, TX
  • NPI 1710325154
  NPD
• Btdi JV LLP

  • Physiological Laboratory
  • Garland, TX
  • NPI 1780165845
  NPD

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

• Baylor Medical Center at Waxahachie

  • General Acute Care Hospital
  • Waxahachie, TX
  • NPI 1265430177
  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1720031511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "214-826-8822",
            "fax_number": "214-826-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-826-8822",
            "fax_number": "214-926-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "IKE",
        "middle_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L7215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161586601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159116603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159116604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texdentalcare P.C
• Texstar Physical Therapy Limited Partnership
• Tgi Anesthesia PLLC
• Sinead Chinn Thach, MS/CCC-SLP
• Roshni Lisa Thachil
• Thaddeusjackdc PLLC
• Thai-Son Tran DMD, PC
• Jimmy Thai
• Stephen Thai
• Kruti Nitin Thakkar, M.D.

• Diagnostic Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.

Verify at the official NPI Registry.