Active NPI
Gregory Wilkins Thompson, MD
- Dermatology Physician
- San Antonio, TX
National Provider Identifier
1942304167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D8457
- Practice address
- 14615 San Pedro
200
San Antonio, TX 78232 - Phone
- (210) 494-5192
- Fax
- (210) 494-7011
- NPI assigned
- Sep 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D8457 | TX | Primary |
Addresses
Primary practice location
14615 San Pedro
200
San Antonio, TX 78232
Mailing address
14615 San Pedro
200
San Antonio, TX 78232
Phone (210) 494-5192
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000483 | TX | Practitioner - Dermatology | 4486787611 | Practice locations: San Antonio, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical Branch at Galveston, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14615 San Pedro Ave
Suite 200
San Antonio, TX 78232-4374
Phone (210) 494-5192
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 420 |
| Removal of skin lesions | 5038 |
| Skin biopsy | 457 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8457 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942304167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14615 SAN PEDRO",
"address_2": "200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-494-5192",
"fax_number": "210-494-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14615 SAN PEDRO",
"address_2": "200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-494-5192",
"fax_number": "210-494-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "GREGORY",
"middle_name": "WILKINS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "D8457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.