Individual provider Active NPI

Tandace Lorae McDill, M.D.

  • Family Medicine Physician
  • Texas City, TX
National Provider Identifier
1093026080
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7809 Issued in TX
Practice address
9850 Emmett F Lowry Expy Ste B
Ste B105
Texas City, TX 77591-2001
Phone
(409) 938-2234
Fax
(409) 949-3492
NPI assigned
Jun 24, 2010
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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 P7809 TX Primary

Addresses

Primary practice location

9850 Emmett F Lowry Expy Ste B
Ste B105
Texas City, TX 77591-2001

Mailing address

9850 Emmett F Lowry Expy Ste B
Ste B105
Texas City, TX 77591-2001
Phone (409) 938-2234

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
I20131220000413 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3779710603 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 7810163011, 25 clinicians

Practice addresses (Care Compare)

943 Hualapai Way
Peach Springs Health Center
Peach Springs, AZ 86434-0190
Phone (928) 769-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness CurrentSince Mar 1, 2020 Accepting new patients
Coastal Health & Wellness Current Accepting new patients

Locations

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

9850 Emmett F Lowry Expy
Ste B
Texas City, TX 77591
Phone (409) 938-2234

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1093026080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 EMMETT F LOWRY EXPY STE B",
            "address_2": "STE B105",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912001",
            "telephone_number": "409-938-2234",
            "fax_number": "409-949-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 EMMETT F LOWRY EXPY STE B",
            "address_2": "STE B105",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912001",
            "telephone_number": "409-938-2234",
            "fax_number": "409-949-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDILL",
        "first_name": "TANDACE",
        "middle_name": "LORAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.