Individual provider Active NPI

Thomas S Boswell, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1831483130
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U1800 Issued in TX
Practice address
1321 Upland Dr Ste 9024
Houston, TX 77043-4718
Phone
(405) 877-2137
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28338 OK
Family Medicine Physician 207Q00000X U1800 TX Primary

Addresses

Primary practice location

1321 Upland Dr Ste 9024
Houston, TX 77043-4718

Mailing address

1321 Upland Dr Ste 9024
Houston, TX 77043-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20150122000410 OK Practitioner - Family Practice 7113241183 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28338OKMDFamily Medicine Physician
U1800TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC Family Medicine CurrentSince Jul 26, 2018 Accepting new patients
Hpi Physicians LLC Family Medicine CurrentSince Jan 2, 2017 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

16205 N Pennsylvania Ave
Edmond, OK 73013
Phone (405) 512-6950

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

46 E 15th St
Edmond, OK 73013
Phone (405) 691-7201

3212 SW 89th St
Ste 100
Oklahoma City, OK 73159
Phone (405) 378-3300

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1831483130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DR STE 9024",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DR STE 9024",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434718",
            "telephone_number": "405-877-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28338",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U1800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.