Individual provider Active NPI

Jayshree Susan Thomas, DO

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1801466305
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V6710 Issued in TX
Practice address
6465 S Shore Blvd
League City, TX 77573-5527
Phone
(281) 538-7735
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V6710 TX Primary

Addresses

Primary practice location

6465 S Shore Blvd
League City, TX 77573-5527

Mailing address

6465 S Shore Blvd Ste 500
League City, TX 77573-5528
Phone (281) 538-7735

Other practice location 1

301 University Blvd
Galveston, TX 77555-1120
Phone (409) 772-2166

Other practice location 2

1501 Red River St
Austin, TX 78712-1845
Phone (512) 495-5555

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
I20250723004477 TX Practitioner - Family Practice 7315453438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

6465 S Shore Blvd
Suite 500
League City, TX 77573-5528
Phone (281) 538-7735

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Aug 18, 2025 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6465 S Shore Blvd
League City, TX 77573
Phone (281) 538-7735

6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735

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 1

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1801466305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S SHORE BLVD STE 500",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735528",
            "telephone_number": "281-538-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S SHORE BLVD",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735527",
            "telephone_number": "281-538-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775551120",
            "country_code": "US",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Red River St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787121845",
            "country_code": "US",
            "telephone_number": "512-495-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAYSHREE",
        "middle_name": "SUSAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V6710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.