Individual provider Active NPI

Arthur Tijerina, M.D.

  • Urology Physician
  • Paris, TX
National Provider Identifier
1124056619
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D6196 Issued in TX
Practice address
811 E Austin St
Paris, TX 75460-7353
Phone
(903) 785-0338
Fax
(903) 785-5369
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D6196 TX Primary

Addresses

Primary practice location

811 E Austin St
Paris, TX 75460-7353

Mailing address

811 E Austin St
Paris, TX 75460-7353
Phone (903) 785-0338

Other identifiers 4

IdentifierTypeStateIssuer
879001OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
340008791OtherTXRAILROAD MEDICARE
0004412062OtherTXAETNA HEALTHCARE
105493401MedicaidTX

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
I20100512000464 TX Practitioner - Urology 6608977384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tijerina Urology Clinic, P.a.Group PAC ID 8527169200, 2 clinicians

Practice addresses (Care Compare)

811 E Austin
Paris, TX 75460-7353
Phone (903) 785-0338

Hospital & facility affiliations

  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Merit-based Incentive Payment System (MIPS)

Final score
75.98 of 100Reported as group
Quality
60.04
Improvement activities
40
Cost
73.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tijerina Urology Clinic, PA Urology CurrentSince Jan 1, 1975 Accepting new patients
Magnetic Imaging of Paris LTD PTR PastSince Sep 1, 2014 Accepting new patients

Locations

811 E Austin St
#O
Paris, TX 75460
Phone (214) 785-0338

811 E Austin St
Paris, TX 75460
Phone (903) 785-0038

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 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1124056619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754607353",
            "telephone_number": "903-785-0338",
            "fax_number": "903-785-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754607353",
            "telephone_number": "903-785-0338",
            "fax_number": "903-785-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "D6196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "879001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340008791",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "0004412062",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105493401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.