Individual provider Active NPI

Tatyana Spektor, M.D.

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1114363017
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
125062986 Issued in IL
Practice address
6565 Fannin St # Nc205
Houston, TX 77030-2703
Phone
(713) 798-3027
Fax
(713) 798-3027
NPI assigned
May 17, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125062980 IL
Ophthalmology Physician 207W00000X 125062986 IL Primary

Addresses

Primary practice location

6565 Fannin St # Nc205
Houston, TX 77030-2703

Mailing address

6565 Fannin
Nc205
Houston, TX 77030
Phone (312) 493-8951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20180816001875 IL Practitioner - Ophthalmology 4587954631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1725 W Harrison St
Suite 918
Chicago, IL 60612-3863
Phone (312) 942-2734

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125062986ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Ophthalmology Associates, LTD Ophthalmology CurrentSince Feb 17, 2020 Accepting new patients
University Ophthalmology Associates, LTD Ophthalmology CurrentSince Feb 17, 2020 Accepting new patients
Eye Center Physicians, LTD. Ophthalmology Past Accepting new patients

Locations

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

1725 W Harrison St
Ste 918
Chicago, IL 60612
Phone (312) 942-2734

75 Remittance Dr
Dept 1283
Chicago, IL 60675

Interoperability endpoints

  • Direct secure messaging: tspektor56458@direct.rush.rush-health.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114363017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN",
            "address_2": "NC205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "312-493-8951",
            "fax_number": "713-798-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST # NC205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-798-3027",
            "fax_number": "713-798-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEKTOR",
        "first_name": "TATYANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125062980",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125062986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.