Active NPI
Tara Lyn Winkelmann, M.D.
- Obstetrics & Gynecology Physician
- Shenandoah, TX
National Provider Identifier
1275709206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M9744
- Practice address
- 17183 Interstate 45 S Ste 410
Shenandoah, TX 77385 - Phone
- (281) 602-7380
- Fax
- (281) 602-7386
- NPI assigned
- Apr 30, 2008
- Last updated
- Jul 7, 2022
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M9744 | TX | Primary |
Addresses
Primary practice location
17183 Interstate 45 S Ste 410
Shenandoah, TX 77385
Mailing address
17183 Interstate 45 S Ste 410
Shenandoah, TX 77385-3313
Phone (281) 602-7380
Other practice location 1
9200 Pinecroft Dr
Ste. 400
Shenandoah, TX 77380-3279
Phone (281) 292-5774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R8344 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9744 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women of the Woodlands Obstetrics and Gynecology PA | Obstetrics & Gynecology | Past | Accepting new patients |
| Unified Women's Healthcare of Texas PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- tara.winkelmann.1@11541.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Addison, TX
- NPI 1952703373
-
- Obstetrics & Gynecology Physician
- The Woodlands, TX
- NPI 1376569756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1275709206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17183 INTERSTATE 45 S STE 410",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773853313",
"telephone_number": "281-602-7380",
"fax_number": "281-602-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17183 INTERSTATE 45 S STE 410",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "77385",
"telephone_number": "281-602-7380",
"fax_number": "281-602-7386"
}
],
"practiceLocations": [
{
"address_1": "9200 Pinecroft Dr",
"address_2": "Ste. 400",
"address_purpose": "LOCATION",
"city": "Shenandoah",
"state": "TX",
"postal_code": "773803279",
"country_code": "US",
"telephone_number": "281-292-5774",
"fax_number": "281-292-5780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINKELMANN",
"first_name": "TARA",
"middle_name": "LYN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "M9744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "8R8344",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.