Tristan Hular Pangilinan, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME053071 Issued in FL

Practice address

200 NE 19TH Dr
Okeechobee, FL 34972-1932

Phone

(863) 467-7666

Fax

(863) 467-1087

NPI assigned

Aug 21, 2006

Last updated

Aug 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tristan Tristan Pangilinan, MD, Facs Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Urology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, West Palm Beach, FL, CCN 108331
• HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tristanpangilinan.tristanpangilinan@131965.advancedmd-direct.com

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

• Ultracare Imaging Services Inc

  • Radiology Clinic/Center
  • Coconut Creek, FL
  • NPI 1316976590
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Okeechobee Hospital, Inc.

  dba HCA Florida Raulerson Hospital

  • General Acute Care Hospital
  • Okeechobee, FL
  • NPI 1215974134
  Care Compare affiliation
• Staff Options, Corp

  dba VitalCaring Group

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1477603140
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1063528453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-467-7666",
            "fax_number": "863-467-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-467-7666",
            "fax_number": "863-467-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGILINAN",
        "first_name": "TRISTAN",
        "middle_name": "HULAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME053071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486582-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF HEALTH",
            "identifier": "ME0053071",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTAN",
            "last_name": "TRISTAN PANGILINAN, MD, FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose R. Ortiz, M.D.
• Simeon Usifo Osemota, M.D.
• Our Village Okeechobee
• Deanna L. Ousley, LMT
• Lisa Joy Paglia, RN
• Parashakti Inc (Apex Health LTC)
• Rebecca Parker
• Janna Lanae Parramore, OD
• Devang Bharatbhai Patel
• Hitesh Morarbhai Patel, RPH

• Urology Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.