THOMPSON OUTPATIENT CLINIC, LLC
NPI 1407961048
Family Medicine in Winnie, TX

Active since August 21, 2006CLIA 45D1041268 · Waiver
304 BROADWAY, WINNIE, TX 77665(409) 296-2910(409) 296-3003 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thompson Outpatient Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMPSON OUTPATIENT CLINIC, LLC (NPI 1407961048) is a healthcare organization registered as a family medicine in Winnie, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2027, maintains a secondary practice location in Winnie, and lists Danny Lee Thompson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407961048
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHOMPSON OUTPATIENT CLINIC, LLC
Location Address304 BROADWAYWinnie, TX 77665-7829
Mailing AddressPo Box 714Winnie, TX 77665-0714 · (409) 296-2910 · Fax (409) 296-3003
Fax(409) 296-3003
Organization SubpartNo
Authorized OfficialDanny Lee ThompsonOwner · (409) 296-2910
Enumeration DateAugust 21, 2006
Last NPPES UpdateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1407961048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
304 BROADWAY, Winnie, TX 77665

Secondary Practice Location 1

Location 1233 Spur 5Winnie, TX 77665-7308 · Phone (409) 296-2910 · Fax (409) 293-3003

Other Identifiers 4

OtherDC8996TX · Medicare Rrw Group Number
Medicaid171711803TX
Other0038MQTX · Bcbs Group Number
Medicaid171711802TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thompson Outpatient Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thompson Outpatient Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1982805586
538 BROADWAY
Winnie, TX 77665
(409) 296-9505
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1041268

Thompson Outpatient Clinic, LLC · Winnie, TX
Active · expires May 26, 2027
CLIA Number45D1041268
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorNedrana Boutte, MD
Laboratory Phone(409) 296-2910
Laboratory LocationThompson Outpatient Clinic, LLC233 Spur 5, Winnie, TX 77665
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thompson Outpatient Clinic, LLC's NPI number?

The NPI number for Thompson Outpatient Clinic, LLC is 1407961048. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Thompson Outpatient Clinic, LLC located?

Thompson Outpatient Clinic, LLC is located at 304 Broadway, Winnie, TX 77665. The listed phone number is (409) 296-2910.

What is Thompson Outpatient Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thompson Outpatient Clinic, LLC enrolled in Medicare?

Yes. Thompson Outpatient Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thompson Outpatient Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Thompson Outpatient Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thompson Outpatient Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1041268) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thompson Outpatient Clinic, LLC was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.