Active NPI
Lija L Thomas, M.D.
- Family Medicine Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S4065
- 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, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05784011 | Medicaid | MS | |
| 100088706 | Medicaid | WI | |
| P0246294 | Other | TX | MEDICARE RAIL ROAD |
| 2433504 | Medicaid | LA | |
| 410493701 | Medicaid | TX | |
| 8MK865 | Other | TX | BCBS |
| 1A1371 | Other | TX | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lija.thomas.1@13711.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- 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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD191023 | OR | MD | Family Medicine Physician |
| S4065 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Elis Medical Corporation | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/GGAJDD
- lija.thomas.1@27041.direct.athenahealth.com
- lija.thomas@160177656168452.direct.elationemr.com
- lthomas1474022@direct.sw.org
- 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.
-
- Multi-Specialty Clinic/Center
- Colleyville, TX
- NPI 1912032384
Family Medicine
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Family Medicine
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Choctaw Nation Health Clinic-Stigler
- Primary Care Clinic/Center
- Stigler, OK
- NPI 1184690026
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.