Individual provider Active NPI

Joseph P Tiscani, DNP, FNP, NP

  • Family Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1013246834
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
722575 Issued in TX
Practice address
4118 Pond Hill Rd Ste 300
Shavano Park, TX 78231-1282
Phone
(210) 494-3739
Fax
(210) 494-4508
NPI assigned
Dec 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 722575 TX Primary

Addresses

Primary practice location

4118 Pond Hill Rd Ste 300
Shavano Park, TX 78231-1282

Mailing address

18202 Crystal Ridge Dr
San Antonio, TX 78259-3613
Phone (210) 393-1061

Other identifiers 5

IdentifierTypeStateIssuer
60169229OtherTXDPS #
722575OtherTXLICENSE - NP
09697OtherTXBON PRESCRIPTIVE AUTHORITY
1013246834OtherTXNPI
AP118362OtherTXAPRN-CNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000295 TX Practitioner - Nurse Practitioner 1951446558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes and Metabolism SpecialistsGroup PAC ID 5496751273, 9 clinicians

Practice addresses (Care Compare)

4118 Pond Hill Rd
Suite 300
Shavano Park, TX 78231-1282
Phone (210) 494-3739

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as group
Quality
96.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Metabolism Specialists CurrentSince Aug 7, 2024 Accepting new patients

Locations

525 Oak Centre Dr
Ste 320
San Antonio, TX 78258
Phone (210) 494-3739

4118 Pond Hill Rd
Ste 300
Shavano Park, TX 78231
Phone (210) 494-3739

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEADA/Endpoint/AHEADA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1013246834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18202 CRYSTAL RIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593613",
            "telephone_number": "210-393-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD STE 300",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311282",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCANI",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "DNP, FNP, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "722575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS #",
            "identifier": "60169229",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE - NP",
            "identifier": "722575",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BON PRESCRIPTIVE AUTHORITY",
            "identifier": "09697",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013246834",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "AP118362",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.