NPIMap

University of Texas Health Science Center at Tyler-Facilty-Physician

A Medicare group practice based in Tyler, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4981699220), with 293 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981699220The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
3
Group size
118 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 7 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20250304000991 TX Part A Provider - Rural Health Clinic 1689496812
O20230504000455 TX MDPP Supplier - in-Person MDPP Supplier 1063400778
O20040416001048 TX Part B Supplier - Clinic/Group Practice 1063400778

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 293

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (293) or whom Care Compare lists as members (118).

Sources for this page