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THOMAS Y TSAI M.D.
NPI 1912010992
Family Medicine in Gilbert, AZ

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
2196 E WILLIAMS FIELD RD, #116, GILBERT, AZ 85295(480) 237-1395(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Y Tsai M.d. NPPES

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

THOMAS Y TSAI M.D. (NPI 1912010992) is an individual family medicine provider in Gilbert, Arizona, licensed in Arizona (35344) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2000).

NPPES Registry Identity

NPI1912010992
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS Y TSAICredential: M.D.
Location Address2196 E WILLIAMS FIELD RD, #116Gilbert, AZ 85295-0754
Mailing Address2196 E Williams Field Rd, #116Gilbert, AZ 85295-0754 · (480) 237-1395 · Fax (602) 218-4076
Phone(480) 237-1395
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2000
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1912010992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 35344
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.
2196 E WILLIAMS FIELD RD, Gilbert, AZ 85295
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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

Thomas Y Tsai M.d. 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 ID7416954060
PECOS Enrollment IDI20061025000092
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
223 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services64 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
80 services69 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
34 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
30 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims47 services$6.65 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims15 services$5.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

AMANDA E SHELLEY PA-C
Physician Assistant
2196 E WILLIAMS FIELD RD, #116
GILBERT, AZ 85295
Maricopa County (480) 237-1395
CHRISTIAN DANIEL LONG PA-C
Physician Assistant (Medical)
2196 E WILLIAMS FIELD RD, #116
GILBERT, AZ 85295
Maricopa County (888) 663-6331
DR. RAKESHKUMAR C PATEL MD
Family Medicine
2196 E WILLIAMS FIELD RD, #116
GILBERT, AZ 85295
Maricopa County (480) 237-1395
ZACHARY ORTIZ M.D.
Family Medicine
2196 E WILLIAMS FIELD RD, #116
GILBERT, AZ 85295
Maricopa County (480) 237-1395

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 Thomas Tsai's NPI number?

The NPI number for Thomas Tsai is 1912010992. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Thomas Tsai located?

Thomas Tsai practices at 2196 E Williams Field Rd #116, Gilbert, AZ 85295. The listed phone number is (480) 237-1395.

What is Thomas Tsai's specialty?

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

Is Thomas Tsai enrolled in Medicare?

Yes. Thomas Tsai 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.

When was this NPI record last updated?

The NPPES record for Thomas Tsai was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.