Individual provider Active NPI

Thomas Scott Chilton Jr., DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1861066409
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U7656 Issued in TX
Practice address
3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225
Phone
(210) 492-8922
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 U7656 TX Primary

Addresses

Primary practice location

3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225

Mailing address

3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225

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
I20240517002106 TX Order and Referring Only - Family PracticePractitioner - Family Practice 4587005780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health by Design Medical Group CurrentSince Nov 3, 2024 Accepting new patients

Locations

3503 Paesanos Pkwy
Ste 101
San Antonio, TX 78231
Phone (210) 492-8922

Interoperability endpoints

  • Direct secure messaging: thomas.chilton@546238333255684.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1861066409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 PAESANOS PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 PAESANOS PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311225",
            "telephone_number": "210-492-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILTON",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U7656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.