Individual provider Active NPI

Elishia Leon Thompson III, DO

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1780686261
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3035 Issued in AZ
Practice address
10503 W Thunderbird Blvd Ste 375
Sun City, AZ 85351-2722
Phone
(623) 583-7400
Fax
(623) 583-7410
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3035 AZ Primary

Addresses

Primary practice location

10503 W Thunderbird Blvd Ste 375
Sun City, AZ 85351-2722

Mailing address

10503 W Thunderbird Blvd Ste 375
Sun City, AZ 85351-2722
Phone (623) 583-7400

Other practice location 1

13460 N 94th Dr
Suite L-2
Peoria, AZ 85381-4835
Phone (623) 583-7400

Other practice location 2

13460 N 94th Dr
Suite L-2
Peoria, AZ 85381-4835
Phone (623) 583-7400

Other practice location 3

9240 W Union Hills Dr Ste 100
Peoria, AZ 85382-8213
Phone (623) 583-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080902000229 AZ Practitioner - Internal Medicine 8022184811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10503 W Thunderbird Blvd
Suite 375
Sun City, AZ 85351-2722
Phone (623) 583-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3035AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical Group Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients

Locations

13460 N 94th Dr
Ste L2
Peoria, AZ 85381
Phone (623) 583-7400

9240 W Union Hills Dr
Ste 100
Peoria, AZ 85382
Phone (623) 562-0130

10503 W Thunderbird Blvd
Ste 375
Sun City, AZ 85351
Phone (602) 974-5801

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.

Hospital & facility affiliations 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1780686261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 375",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512722",
            "telephone_number": "623-583-7400",
            "fax_number": "623-583-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 375",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512722",
            "telephone_number": "623-583-7400",
            "fax_number": "623-583-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13460 N 94th Dr",
            "address_2": "Suite L-2",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814835",
            "country_code": "US",
            "telephone_number": "623-583-7400",
            "fax_number": "623-583-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13460 N 94th Dr",
            "address_2": "Suite L-2",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814835",
            "country_code": "US",
            "telephone_number": "623-583-7400",
            "fax_number": "623-583-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9240 W Union Hills Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828213",
            "country_code": "US",
            "telephone_number": "623-583-7400",
            "fax_number": "623-583-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELISHIA",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.