Organization Active NPI

Alexander Tiu, MD, PA

  • Specialist
  • Humble, TX
National Provider Identifier
1083678882
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J0412 Issued in TX
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

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Dr. Alexander Tiu, MDNPI 1164482519
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
156862801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.