Individual provider Active NPI

Thomas J Parks, MD

  • Physical Medicine & Rehabilitation Physician
  • Addison, TX
National Provider Identifier
1992796163
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P7017 Issued in TX
Practice address
14131 Midway Rd
Suite 620
Addison, TX 75001-3623
Phone
(972) 249-0200
Fax
(972) 249-0206
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 23284 AZ
Physical Medicine & Rehabilitation Physician 208100000X P7017 TX Primary

Addresses

Primary practice location

14131 Midway Rd
Suite 620
Addison, TX 75001-3623

Mailing address

14131 Midway Rd
Suite 620
Addison, TX 75001-3623
Phone (972) 249-0200

Other identifiers 5

IdentifierTypeStateIssuer
250008547OtherAZRR MEDICARE
00G850000OtherCAMEDICARE OF N CA
AZ0818870OtherAZBC/BS OF AZ
Z21067OtherAZMEDICARE PROV #
403387MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090917000655 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Neurology 9234117573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
Medical College of Wisconsin, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3500

16825 N 63Rd Ave
Glendale, AZ 85306-1001
Phone (602) 732-3400

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 742-9000

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23284AZMDPhysical Medicine & Rehabilitation Physician
P7017TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince May 15, 2017 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince May 15, 2017 Accepting new patients
Mohave Neuro Rehab Consul PC Physical Medicine & Rehabilitation PastSince Jul 12, 2004 Accepting new patients

Locations (25 of 26)

16825 N 63rd Ave
Glendale, AZ 85306
Phone (602) 732-3400

1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074

1300 E South St
Globe, AZ 85501
Phone (928) 425-3118

150 N La Canada Dr
Green Valley, AZ 85614
Phone (520) 230-4532

5652 E Baseline Rd
Mesa, AZ 85206
Phone (480) 477-7112

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1880 E Van Buren St
Phoenix, AZ 85006
Phone (602) 253-4570

2305 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 458-1050

660 S Coronado Dr
Sierra Vista, AZ 85635
Phone (520) 459-4900

3705 N Swan Rd
Tucson, AZ 85718
Phone (520) 298-3800

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1313 W Magee Rd
Tucson, AZ 85704
Phone (520) 797-2600

2040 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 298-3800

2900 E Milber St
Tucson, AZ 85714
Phone (520) 294-0005

5545 E Lee St
Tucson, AZ 85712
Phone (520) 296-2306

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

2001 N Park Ave
Tucson, AZ 85719
Phone (520) 882-3558

6230 N La Cholla Blvd
Tucson, AZ 85741

5020 E Glenn St
Tucson, AZ 85712
Phone (520) 298-3800

6211 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 408-4321

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

1919 W Medical St
Tucson, AZ 85704
Phone (520) 297-7311

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

Organizations & group practices 3

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 2

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1992796163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD",
            "address_2": "SUITE 620",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013623",
            "telephone_number": "972-249-0200",
            "fax_number": "972-249-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "23284",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P7017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "250008547",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF N CA",
            "identifier": "00G850000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0818870",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROV #",
            "identifier": "Z21067",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403387",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.