Individual provider Active NPI

Tara Lyn Winkelmann, M.D.

  • Obstetrics & Gynecology Physician
  • Shenandoah, TX
National Provider Identifier
1275709206
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M9744 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8R8344OtherTXBLUE 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

LicenseStateTypeSpecialty
M9744TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women of the Woodlands Obstetrics and Gynecology PA Obstetrics & Gynecology PastSince Aug 24, 2011 Accepting new patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.