DR. THOMAS EBANJA MD
NPI 1629654314
Anesthesiology in San Antonio, TX

Q: What is Thomas Ebanja's NPI number?

The NPI number for Thomas Ebanja is 1629654314. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Thomas Ebanja's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Ebanja was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212(212) 757-2200 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Mar 22, 2021 (2 updates tracked since 2021).

On this page

About Dr. Thomas Ebanja Md NPPES

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

DR. THOMAS EBANJA MD (NPI 1629654314) is an individual anesthesiology provider in San Antonio, Texas, licensed in Texas (V8611) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Rutgers New Jersey Medical School (2021).

NPPES Registry Identity

NPI1629654314

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. THOMAS EBANJACredential: MD

Location Address1310 MCCULLOUGH AVESan Antonio, TX 78212-5601

Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298 · (570) 867-0773

Phone(212) 757-2200

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1629654314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in TX · V8611

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1310 MCCULLOUGH AVE, San Antonio, TX 78212

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Ebanja Md 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 ID5193224947

PECOS Enrollment IDI20250818004323

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR MANUEL GONZALEZ VAZQUEZ

Emergency Medicine