Individual provider Active NPI

Leticia Iliana Tiscareno-Grajeda, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1326202169
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1701 Issued in TX
Practice address
7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040
Phone
(512) 407-8880
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P1701 TX Primary

Addresses

Primary practice location

7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040

Mailing address

7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000523 TX Practitioner - Internal Medicine 4880855527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Heights Physician Services PAGroup PAC ID 9830683705, 61 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (915) 747-4000

2001 N Oregon St
Providence Memorial Hospital
El Paso, TX 79902-3320
Phone (915) 577-6011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Heights Physician Services PA Internal Medicine CurrentSince Jan 26, 2026 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

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

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

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1326202169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 130W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 130W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571040",
            "telephone_number": "512-407-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCARENO-GRAJEDA",
        "first_name": "LETICIA",
        "middle_name": "ILIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.