Individual provider Active NPI

Tanya Renee Grun, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1023091014
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8093 Issued in TX
Practice address
1220 River Bend Dr Ste 250
Dallas, TX 75247-5073
Phone
(800) 465-3203
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H8093 TX Primary

Addresses

Primary practice location

1220 River Bend Dr Ste 250
Dallas, TX 75247-5073

Mailing address

301 Main PLZ # 330
New Braunfels, TX 78130-5136
Phone (830) 620-7744

Other practice location 1

652 N Houston Ave Ste 2
New Braunfels, TX 78130-4123
Phone (830) 620-7744

Other identifiers 4

IdentifierTypeStateIssuer
135125609MedicaidTX
8F21450OtherTXMEDICARE USER#
OOY940OtherTXGROUP PTAN #
8F7698OtherTXINDIVIDUAL PTAN #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tanya-grun@drtanyagrun.e-mdsdirect.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000507 TX Practitioner - Family Practice 4587741053

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as individual
Quality
90.94
Improvement activities
40
Cost
71.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tanya R. Grun, M.D., P.a. Family Medicine CurrentSince May 6, 2009 Accepting new patients
Osinb, PA PastSince Jun 1, 2020 Accepting new patients

Locations

921 Lakeview Blvd
New Braunfels, TX 78130
Phone (830) 620-7744

301 Main Plz
New Braunfels, TX 78130
Phone (210) 710-4265

652 N Houston Ave
Ste 2
New Braunfels, TX 78130
Phone (830) 481-9470

Organizations & group practices 2

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1023091014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN PLZ # 330",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305136",
            "telephone_number": "830-620-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 RIVER BEND DR STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475073",
            "telephone_number": "800-465-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 N Houston Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304123",
            "country_code": "US",
            "telephone_number": "830-620-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUN",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135125609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE USER#",
            "identifier": "8F21450",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN #",
            "identifier": "OOY940",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN #",
            "identifier": "8F7698",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tanya-grun@drtanyagrun.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "652 N Houston Ave Ste 2",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781304123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.