Individual provider Active NPI

Zachary Moss Thompson, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1972783652
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A97895 Issued in CA
Practice address
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone
(844) 389-5711
Fax
(877) 880-2039
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A97895 CA Primary
Diagnostic Radiology Physician 2085R0202X 66259 CT

Addresses

Primary practice location

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Mailing address

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (844) 389-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100902000814 CA Practitioner - Diagnostic Radiology 5496879033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Phone (925) 847-3000

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97895CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Jul 12, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2025 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Mar 23, 2022 Accepting new patients
Stanford Health Care Diagnostic Radiology CurrentSince Jun 3, 2020 Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Sutter Valley Medical Foundation Diagnostic Radiology Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2025 Accepting new patients
Stanford Health Care CurrentSince Jun 3, 2020 Accepting new patients
Johns Hopkins University CurrentSince Mar 23, 2022 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1972783652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "844-389-5711",
            "fax_number": "877-880-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 OAK LAWN AVE UNIT 192749",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194688",
            "telephone_number": "844-389-5711",
            "fax_number": "877-880-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ZACHARY",
        "middle_name": "MOSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A97895",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "66259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.