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

Q: 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.

Q: What is Thomas Tsai's specialty?

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

Q: 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 19 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 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: October 25, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Tsai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iora Senior Health, LLC

5.8 mi

Internal Medicine

5110 E SOUTHERN AVE STE 105
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
123 clinicians in this Medicare group

NPI 1083063036 (888) 663-6331

Omg Arizona, LLC

22 mi

Family Medicine

2201 E CAMELBACK RD, SUITE 101A
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
49 clinicians in this Medicare group

NPI 1184014854 (602) 218-4075

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

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.

Which organizations bill Medicare for Thomas Tsai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Tsai reassigns Medicare benefits to 2 organizations: Iora Senior Health, LLC (Mesa, AZ) and Omg Arizona, LLC (Phoenix, AZ). 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 Thomas Tsai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Tsai accept?

Health plans from Cigna HealthCare of Arizona, Inc list Thomas Tsai 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 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 19 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.