SOPHIA THOMAS
NPI 1609248152
Nurse Practitioner - Acute Care in Houston, TX

Active since October 23, 2015PECOS EnrolledAccepts Medicare Assignment
12306 AMANDA PINES DR, HOUSTON, TX 77089(281) 935-2218 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Thomas NPPES

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

SOPHIA THOMAS (NPI 1609248152) is an individual acute care provider in Houston, Texas, licensed in Texas (AP125586) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609248152
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSOPHIA THOMAS
Location Address12306 AMANDA PINES DRHouston, TX 77089-7002
Mailing Address12306 Amanda Pines DrHouston, TX 77089-7002 · (281) 935-2218
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 23, 2015
✔ NPI 1609248152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP125586
12306 AMANDA PINES DR, Houston, TX 77089

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophia Thomas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597120733
PECOS Enrollment IDI20250207002500, I20250207003547, I20250210000731, I20250210000961, I20250210001284, I20250212001746, I20250214001702, I20250215000065, I20250317000797, I20250416003487, I20251202000639, I20260124000423, I20260202001558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

14

Medicare enrollment records show Sophia Thomas reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4200 SHEPHERD LN
Balch Springs, TX 75180
  • Reassigned Medicare billing, Texas enrollment
  • 93 clinicians in this Medicare group
Internal Medicine
100 S ASHLEY DR STE 600
Tampa, FL 33602
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
Family Medicine
10123 ALLIANCE RD
Blue Ash, OH 45242
  • Reassigned Medicare billing, District of Columbia, Indiana, Kentucky, Maryland, Ohio, Pennsylvania, Virginia and West Virginia enrollments
  • 45 clinicians in this Medicare group
Internal Medicine
2255 MONARCH DR
Naperville, IL 60563
  • Reassigned Medicare billing, Colorado, District of Columbia, Florida, Georgia, Kansas, Louisiana, Maryland, Minnesota, North Carolina, New York, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee and Wisconsin enrollments
  • 51 clinicians in this Medicare group
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, Florida, Illinois, Indiana, North Carolina, New York, Ohio, Pennsylvania, South Dakota and Tennessee enrollments
  • 115 clinicians in this Medicare group
Internal Medicine
707 ARMSTRONG RD
Lansing, MI 48911
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
Internal Medicine
290 RED SCHOOL LN
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Post Acute Specialists New Jersey PC
  • 59 clinicians in this Medicare group
Family Medicine
169 MADISON AVE STE 2817
New York, NY 10016
  • Reassigned Medicare billing, Iowa, Michigan, Ohio and Texas enrollments
  • 17 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 124 clinicians in this Medicare group
Multi-Specialty
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Florida, New Jersey and New York enrollments
  • 42 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sophia Thomas's NPI number?

The NPI number for Sophia Thomas is 1609248152. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Sophia Thomas located?

Sophia Thomas practices at 12306 Amanda Pines Dr, Houston, TX 77089. The listed phone number is (281) 935-2218.

What is Sophia Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sophia Thomas enrolled in Medicare?

Yes. Sophia Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sophia Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Thomas reassigns Medicare benefits to 14 organizations: Texas Post Acute Specialists, PA (Balch Springs, TX), Caringathome, LLC (Tampa, FL), Post Acute Telehealth PC (Blue Ash, OH), Post Acute Specialists, LLC (Naperville, IL), Dr Rebman Medical PA (Miami, FL) and 9 more organizations, listed in the Medicare section above. Each 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 Sophia Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Texas and CareSource and 3 other insurers list Sophia Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Thomas was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.