Active NPI
Tiffany L Anthony, MD
- Transplant Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- M9808
- Practice address
- 7777 Forest LN Ste B446
Dallas, TX 75230 - Phone
- (972) 566-8822
- Fax
- (972) 566-8861
- NPI assigned
- Jul 17, 2008
- Last updated
- Jul 1, 2019
- 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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | M9808 | TX | Primary |
Addresses
Primary practice location
7777 Forest LN Ste B446
Dallas, TX 75230
Mailing address
7777 Forest LN Ste B446
Dallas, TX 75230-2571
Phone (972) 566-8822
Other practice location 1
3410 Worth St
Suite 950
Dallas, TX 75246-2003
Phone (214) 820-2050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198139101 | Medicaid | TX | |
| 8H8678 | Other | TX | BC/BS |
| 198139103 | Medicaid | TX | |
| 198139104 | 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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7777 Forest LN
Suite C339
Dallas, TX 75230-2544
Phone (469) 608-4980
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Surgery Physician
- Dallas, TX
- NPI 1396107819
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1235393208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE B446",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-8822",
"fax_number": "972-566-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN STE B446",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "972-566-8822",
"fax_number": "972-566-8861"
}
],
"practiceLocations": [
{
"address_1": "3410 Worth St",
"address_2": "Suite 950",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752462003",
"country_code": "US",
"telephone_number": "214-820-2050",
"fax_number": "214-818-6491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTHONY",
"first_name": "TIFFANY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "TX",
"license": "M9808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198139101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8H8678",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198139103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198139104",
"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 Jul 1, 2019; 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.