Active NPI
Tina J Philip, DO
- Family Medicine Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N0367
- Practice address
- 511 Oakwood Blvd Ste 202
Round Rock, TX 78681-4068 - Phone
- (512) 388-0511
- NPI assigned
- Mar 7, 2008
- Last updated
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N0367 | TX | Primary |
Addresses
Primary practice location
511 Oakwood Blvd Ste 202
Round Rock, TX 78681-4068
Mailing address
PO Box 4374
Houston, TX 77210-4374
Phone (512) 252-1505
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
511 Oakwood Blvd
Suite 202
Round Rock, TX 78681-4068
Phone (512) 388-0511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0367 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Health Medical Group | Family Medicine | Current | Accepting new patients |
| Rodom Medical Consulting PA | Family Medicine | Current | Accepting new patients |
| Tina J. Philip, D.O. PLLC | Family Medicine | Current | Accepting new patients |
| Gwendolyn Miller, MD, P.a. | Family Medicine | Past | Accepting new patients |
Locations
505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505
3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100
1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200
511 Oakwood Blvd
Ste 202
Round Rock, TX 78681
Phone (512) 388-0511
Interoperability endpoints
- https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/EEIJBD/Endpoint/EEIJBD
Organizations & group practices 4
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.
-
dba Oakwood Family Medicine
- Family Medicine Physician
- Round Rock, TX
- NPI 1841835915
-
- Family Medicine Physician
- Austin, TX
- NPI 1396486619
-
dba Parkway Primary Care
- Family Medicine Physician
- Pflugerville, TX
- NPI 1528076056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1174793970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4374",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104374",
"telephone_number": "512-252-1505",
"fax_number": "512-252-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 OAKWOOD BLVD STE 202",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814068",
"telephone_number": "512-388-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "TINA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N0367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.