Individual provider Active NPI

Ponmary Thomas, FNP

  • Family Nurse Practitioner
  • Sealy, TX
National Provider Identifier
1902176662
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1875 Issued in TX
Practice address
1036 N Circle Dr
Sealy, TX 77474-3336
Phone
(979) 877-0022
NPI assigned
Jan 11, 2012
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009337 IL
Family Nurse Practitioner 363LF0000X 1875 TX Primary

Addresses

Primary practice location

1036 N Circle Dr
Sealy, TX 77474-3336

Mailing address

1036 N Circle Dr
Sealy, TX 77474-3336
Phone (979) 877-0022

Other names 1

  • Maria Thomas Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180302000363 TX Practitioner - Nurse Practitioner 8325309552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Om Sakthi P.a.Group PAC ID 1557332442, 3 clinicians
Sealy Urgent Care Center P.a.Group PAC ID 1557606464, 2 clinicians

Practice addresses (Care Compare)

1036 N Circle Dr
Sealy, TX 77474-3336
Phone (979) 877-0022

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009337ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince Mar 1, 2021 Accepting new patients
Om Sakthi P.a. CurrentSince Feb 16, 2018 Accepting new patients
Sealy Assisted Living, LLC Current Accepting new patients
Sealy Urgent Care Center P.a. CurrentSince Dec 12, 2022 Accepting new patients
Om Sakthi P.a. CurrentSince Feb 16, 2018 Accepting new patients

Locations

1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636

1036 N Circle Dr
Ste 101
Sealy, TX 77474
Phone (979) 627-6224

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1902176662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "979-877-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "979-877-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PONMARY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "THOMAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sealy, TX

Sources for this page

Verify at the official NPI Registry.