Active NPI
Frederick Gutierrez Tinio, MD
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N7885
- Practice address
- 3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017 - Phone
- (214) 820-3011
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD25273 | OR | |
| Internal Medicine Physician | 207R00000X | N7885 | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017
Mailing address
3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017
Phone (214) 820-3011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01062971 | Other | TX | MEDICARE RAILROAD |
| 281466705 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110523000644 | TX | Practitioner - Internal Medicine | 5193793735 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthtexas Provider Network
Practice addresses (Care Compare)
2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
4001 Worth St
Dallas, TX 75246-1608
Hospital & facility affiliations
- Baylor University Medical Center
- Baylor Scott & White Medical Center- Waxahachie
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25273 | OR | MD | Internal Medicine Physician |
| N7885 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Inpatient Physician Associates PLLC | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Lone Star Hma Physician Management, Inc | Internal Medicine | Past | Accepting new patients |
Locations
3500 Gaston Ave
#4
Dallas, TX 75246
Phone (214) 820-1000
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3600 Gaston Ave
Ste 558
Dallas, TX 75246
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- ftinio355590@ahs.direct-ci.com
- ftinio262407@direct.sw.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Internal Medicine, TX
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1285696898
Internal Medicine, TX
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
TX
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1578882643
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1114902111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "4 ROBERTS",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "4 ROBERTS",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINIO",
"first_name": "FREDERICK",
"middle_name": "GUTIERREZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD25273",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N7885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01062971",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281466705",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.