Individual provider Active NPI

Lija L Thomas, M.D.

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1891135125
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S4065 Issued in TX
Practice address
1604 Lancaster Dr
Grapevine, TX 76051-3544
Phone
(855) 893-5637
Fax
(817) 666-3873
NPI assigned
Jul 1, 2013
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD191023 OR
Family Medicine Physician 207Q00000X 303932 LA
Family Medicine Physician 207Q00000X 889-L MS
Family Medicine Physician 207Q00000X S4065 TX Primary

Addresses

Primary practice location

1604 Lancaster Dr
Grapevine, TX 76051-3544

Mailing address

2340 E Trinity Mills Rd Ste 250
Carrollton, TX 75006-1946
Phone (972) 417-8937

Other practice location 1

17055 Ruben Ln
Sandy, OR 97055-9276
Phone (503) 668-8002

Other practice location 2

705 E Marshall Ave Ste 1002
Longview, TX 75601-5660
Phone (903) 759-7200

Other practice location 3

1305 Airport Fwy Ste 405
Bedford, TX 76021-6607
Phone (855) 893-5637

Other practice location 4

750 Eureka St Ste B
Weatherford, TX 76086-6521
Phone (855) 893-5637

Other practice location 5

1752 Broad Park Cir N Ste 114
Mansfield, TX 76063-7824
Phone (855) 893-5637

Other practice location 6

4004 Medical Pkwy
Greenville, TX 75401-7854
Phone (855) 893-5637

Other practice location 7

1625 N Grand Ave
Gainesville, TX 76240-2343
Phone (855) 893-5637

Other practice location 8

2720 Western Center Blvd Ste 312
Fort Worth, TX 76131-4302
Phone (855) 893-5637

Other practice location 9

6029 Belt Line Rd Ste 105
Dallas, TX 75254-7873
Phone (855) 893-5637

Other identifiers 7

IdentifierTypeStateIssuer
05784011MedicaidMS
100088706MedicaidWI
P0246294OtherTXMEDICARE RAIL ROAD
2433504MedicaidLA
410493701MedicaidTX
8MK865OtherTXBCBS
1A1371OtherTXMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lija.thomas.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161219002084 TX Practitioner - Family Practice 3779807300 Reassigns benefits to 4 organizations
I20200430001104 OR Practitioner - Family Practice 3779807300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elis Medical CorporationGroup PAC ID 9133160088, 8 clinicians

Practice addresses (Care Compare)

5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (817) 355-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD191023ORMDFamily Medicine Physician
S4065TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Nation of Oklahoma CurrentSince Oct 19, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Apr 3, 2020 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince May 11, 2020 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Oct 19, 2016 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Mar 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 11, 2020 Accepting new patients
Elis Medical Corporation Family Medicine CurrentSince Jun 15, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 3, 2020 Accepting new patients

Locations

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

630 W 34th St
Ste 303
Austin, TX 78705
Phone (512) 953-8134

5207 Heritage Ave
Colleyville, TX 76034
Phone (817) 355-8000

705 E Marshall Ave
Ste 1002
Longview, TX 75601
Phone (903) 247-7700

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAJDD
  • Direct secure messaging: lija.thomas.1@27041.direct.athenahealth.com
  • Direct secure messaging: lija.thomas@160177656168452.direct.elationemr.com
  • Direct secure messaging: lthomas1474022@direct.sw.org
  • Direct secure messaging: lthomas217215@christushealth.direct-ci.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1891135125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "972-417-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 LANCASTER DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513544",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17055 Ruben Ln",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "OR",
            "postal_code": "970559276",
            "country_code": "US",
            "telephone_number": "503-668-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015660",
            "country_code": "US",
            "telephone_number": "903-759-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Airport Fwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216607",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Eureka St Ste B",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866521",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1752 Broad Park Cir N Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637824",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4004 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017854",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Western Center Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761314302",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6029 Belt Line Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547873",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LIJA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD191023",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "303932",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "889-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05784011",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088706",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P0246294",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433504",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410493701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8MK865",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1A1371",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lija.thomas.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "1020 N Collins St",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760116134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.