Active NPI
Thomas G Harralson, MD
- Family Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01073476A
- Practice address
- 318 Sprite Rd
Louisville, KY 40207-1919 - Phone
- (502) 619-3141
- NPI assigned
- May 30, 2008
- Last updated
- Mar 4, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | R1978 | KY | |
| Family Medicine Physician | 207Q00000X | 01073476A | IN | Primary |
| Family Medicine Physician | 207Q00000X | 43682 | KY |
Addresses
Primary practice location
318 Sprite Rd
Louisville, KY 40207-1919
Mailing address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (502) 619-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100085300 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43682 | KY | MD | Family Medicine Physician |
| R1978 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of New York, PLLC | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Cogent Medical Care PC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| Northwest Texas Healthcare System Inc | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- tharralson@unionhealth.cernerdirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1629307095
Family Medicine
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
Family Medicine
-
dba Sound Physicians Emergency Medicine of New York
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Texas Healthcare System
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1851559488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MERCER AVE",
"city": "DECATUR",
"state": "IN",
"postal_code": "467332303",
"telephone_number": "502-619-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 SPRITE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402071919",
"telephone_number": "502-619-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRALSON",
"first_name": "THOMAS",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "R1978",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01073476A",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "43682",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100085300",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.