Active NPI
Alexander Tiu, MD, PA
- Specialist
- Humble, TX
National Provider Identifier
1083678882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J0412
- Legal business name
- ALEXANDER TIU, MD, PA
- Practice address
- 19411 McKay Dr Ste 250
Humble, TX 77338-5713 - Phone
- (832) 777-6921
- Fax
- (281) 359-6847
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander Tiu, MD
- Title
- Owner
- Phone
- (281) 359-5010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J0412 | TX | Primary |
Addresses
Primary practice location
19411 McKay Dr Ste 250
Humble, TX 77338-5713
Mailing address
19411 McKay Dr Ste 250
Humble, TX 77338-5713
Phone (832) 777-6921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156862801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050330000161 | TX | Part B Supplier - Clinic/Group Practice | 6709832074 |
Receives reassigned benefits from 1 practitioner Practice locations: Humble, TX; Kingwood, TX |
National Provider Directory
National Provider DirectoryLocations
19411 McKay Dr
Ste 250
Humble, TX 77338
Phone (281) 540-3838
22999 Highway 59 N
Ste 214
Kingwood, TX 77339
Phone (281) 359-5010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJAACA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547078400000",
"number": "1083678882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19411 MCKAY DR STE 250",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385713",
"telephone_number": "832-777-6921",
"fax_number": "281-359-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19411 MCKAY DR STE 250",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385713",
"telephone_number": "832-777-6921",
"fax_number": "281-359-6847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER TIU, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2019-01-10",
"status": "A",
"authorized_official_last_name": "TIU",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-359-5010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "J0412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156862801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.