Active NPI
Ajay Thomas, PAC
- Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04515
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030-4009 - Phone
- (713) 792-6161
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04515 | TX | Primary |
| Surgical Physician Assistant | 363AS0400X | PA04515 | TX |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030-4009
Mailing address
PO Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other practice location 1
5210 Fountainbrook Ln
Sugar Land, TX 77479-4834
Phone (281) 948-5114
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216179601 | Medicaid | TX | |
| P00861336 | Other | TX | RAILROAD MEDICARE |
| 216179611 | Other | TX | MEDICAID-CSHCN |
| 8LZ651 | Other | TX | BCBS |
| 216179610 | Medicaid | TX |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1327 Lake Pointe Pkwy
Sugar Land, TX 77478-4095
Phone (281) 566-1800
2130 W Holcombe Blvd
Univ of TX M D Ande Life Sciences Plaza
Houston, TX 77030-4009
Phone (713) 592-5433
Hospital & facility affiliations
- University of Texas M D Anderson Cancer Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Physician Assistant | Current | Accepting new patients |
| SWMS LLC | Surgical | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Iosolutions | Physician Assistant | Past | Accepting new patients |
| Partners in Practice, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
21222 Kingsland Blvd
Katy, TX 77450
Phone (281) 344-1715
1517 Thompson Rd
Richmond, TX 77469
Phone (281) 344-1715
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101
Interoperability endpoints
- athomas143875@utmdandersoncc.direct-ci.com
- ajaythomas@usoapas.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Surgical Physician Assistant
- Sugar Land, TX
- NPI 1972937100
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1942859350
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Physician Assistant
- Sugar Land, TX
- NPI 1356610679
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Physician Assistant
- Richmond, TX
- NPI 1245319466
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1821089178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304009",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [
{
"address_1": "5210 Fountainbrook Ln",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774794834",
"country_code": "US",
"telephone_number": "281-948-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "AJAY",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04515",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA04515",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216179601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00861336",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-CSHCN",
"identifier": "216179611",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8LZ651",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216179610",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.