Individual provider Active NPI

Anne T. Tuveson, M.D.

  • Dermatology Physician
  • Garland, TX
National Provider Identifier
1114087079
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200300420 Issued in NC
Practice address
3310 Broadway Blvd
Garland, TX 75043-1531
Phone
(972) 271-4141
Fax
(972) 278-8691
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200300420 NC Primary
Procedural Dermatology Physician 207NS0135X 200300420 NC

Addresses

Primary practice location

3310 Broadway Blvd
Garland, TX 75043-1531

Mailing address

3310 Broadway Blvd
Garland, TX 75043-1531
Phone (972) 271-4141

Other identifiers 1

IdentifierTypeStateIssuer
137AFOtherNCBLUE CROSS PROV ID

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
I20151204000094 TX Practitioner - Dermatology 0840268124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Physicians of Dallas PAGroup PAC ID 7416976725, 5 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite C755
Dallas, TX 75230-6862
Phone (972) 566-2600

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
73.59
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1231
Removal or shaving of skin growth1-10
Skin biopsy341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300420NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Physicians of Dallas, P.a. Dermatology CurrentSince Aug 20, 2020 Accepting new patients
Wake Dermatology Associates, PA Dermatology PastSince Jul 1, 1999 Accepting new patients
Lisa a. Garner, M.D.P.a. Dermatology PastSince Sep 29, 2010 Accepting new patients

Locations

7777 Forest Ln
Ste C755
Dallas, TX 75230
Phone (972) 249-2138

3465 National Dr
Ste 205
Plano, TX 75025
Phone (972) 249-2138

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDBAA/Endpoint/JGDBAA
  • Direct secure messaging: anne.tuveson@dpod.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/9561/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1114087079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431531",
            "telephone_number": "972-271-4141",
            "fax_number": "972-278-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431531",
            "telephone_number": "972-271-4141",
            "fax_number": "972-278-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUVESON",
        "first_name": "ANNE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200300420",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "200300420",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV ID",
            "identifier": "137AF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.