NPIMap

Individual provider Active NPI

Ebba M Tsinopoulos, MD

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1104079029
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3161 Issued in TX
Practice address
21720 Kingsland Blvd
Katy, TX 77450-2550
Phone
(212) 409-6121
Fax
(405) 745-9602
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 N3161 TX Primary

Addresses

Primary practice location

21720 Kingsland Blvd
Katy, TX 77450-2550

Mailing address

601 N 1St Ave
Durant, OK 74701-3901
Phone (405) 745-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000917 TX Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 4587851472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Undersea and Hyperbaric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Medical Services PLLCGroup PAC ID 3971661018, 15 clinicians

Practice addresses (Care Compare)

21720 Kingsland Blvd
FL 3
Katy, TX 77450-2550
Phone (281) 579-5542

Hospital & facility affiliations

  • Elite Home Health Home health agency, Houston, TX, CCN 678279
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • University of Texas M D Anderson Cancer Center Hospital, Houston, TX, CCN 450076
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue710
Removal of skin lesions68
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Rehabilitation Hospital Katy, LLC PastSince Jun 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: etsinopoulos61731@memorialhermann.direct-ci.com
  • Direct secure messaging: etsinopoulos@direct-address.org

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.

Hospital & facility affiliations 7

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1104079029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013901",
            "telephone_number": "405-745-9600",
            "fax_number": "405-745-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502550",
            "telephone_number": "212-409-6121",
            "fax_number": "405-745-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSINOPOULOS",
        "first_name": "EBBA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.