Active NPI
Raed R Tamimi, M.D.
- Psychiatry Physician
- Temple, TX
National Provider Identifier
1376552018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- J5922
- Practice address
- 1901 S 1St St
Austin Opc
Temple, TX 76504-7451 - Phone
- (512) 389-1010
- Fax
- (512) 389-6522
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | J5922 | TX | Primary |
Addresses
Primary practice location
1901 S 1St St
Austin Opc
Temple, TX 76504-7451
Mailing address
6016 Tributary Ridge Dr
Austin, TX 78759-5178
Phone (512) 389-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5922 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Health Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- San Antonio, TX
- NPI 1316000144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376552018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6016 TRIBUTARY RIDGE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595178",
"telephone_number": "512-389-1010",
"fax_number": "512-389-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S 1ST ST",
"address_2": "AUSTIN OPC",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "512-389-1010",
"fax_number": "512-389-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMIMI",
"first_name": "RAED",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J5922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.