NPIMap

Individual provider Active NPI

Brian Matthew Tibbs, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1235332198
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P9474 Issued in TX
Practice address
8230 Walnut Hill LN Ste 320
Dallas, TX 75231-4481
Phone
(214) 369-5432
Fax
(214) 369-5591
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2002005863 MO
Surgical Critical Care Physician 2086S0102X P9474 TX
Surgery Physician 208600000X P9474 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 320
Dallas, TX 75231-4481

Mailing address

8230 Walnut Hill LN Ste 320
Dallas, TX 75231-4481
Phone (214) 369-5432

Other identifiers 3

IdentifierTypeStateIssuer
175956001MedicaidAR
431560263OtherMOTRICARE WEST
20744506MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000493 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 3072614098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Missouri, Kansas City, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

8230 Walnut Hill LN
Suite 320
Dallas, TX 75231-4481
Phone (214) 369-5432

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002005863MOMDSurgery Physician
P9474TXMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Acute Care Surgical Affiliates of Texas PA Surgery CurrentSince Oct 12, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2016 Accepting new patients
Saint Luke'S Hospital of Kansas City Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Saint Lukes Cancer Institute LLC Surgery Past Accepting new patients
Texas Health Presbyterian Hospital Dallas Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

8230 Walnut Hill Ln
Ste 320
Dallas, TX 75231
Phone (214) 265-9991

8230 Walnut Hill Ln
Ste 414
Dallas, TX 75231
Phone (214) 200-3256

8230 Walnut Hill Ln
Ste 408
Dallas, TX 75231
Phone (214) 369-5432

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: btibbs443306@direct.texashealth.org
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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.

Hospital & facility affiliations 12

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1235332198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314481",
            "telephone_number": "214-369-5432",
            "fax_number": "214-369-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314481",
            "telephone_number": "214-369-5432",
            "fax_number": "214-369-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2002005863",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "P9474",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P9474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175956001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20744506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.