Individual provider Active NPI

Athanase Kawou Tuwa, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1396126173
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10102 Issued in TX
Practice address
2855 Preston Rd
Frisco, TX 75034-9438
Phone
(469) 495-9118
NPI assigned
Jun 17, 2015
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004974 VA
Physician Assistant 363A00000X PA10102 TX Primary

Addresses

Primary practice location

2855 Preston Rd
Frisco, TX 75034-9438

Mailing address

2855 Preston Rd
Frisco, TX 75034-9438
Phone (469) 495-9118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akawoutuwa1049747@Direct.TexasHealth.org Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104001088 TX Practitioner - Physician Assistant 9436465176 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

1001 N Interstate 35 E
Suite 430C
Desoto, TX 75115-4286
Phone (469) 765-1600

11888 Marsh LN
Suite 104
Dallas, TX 75234-8083
Phone (972) 488-9222

1213 E Trinity Mills Rd
Suite 100
Carrollton, TX 75006-1446
Phone (972) 431-0820

125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

3805 W University Dr
Suite 100
McKinney, TX 75071-2944
Phone (469) 495-9102

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

5076 W Plano Pkwy
Plano, TX 75093-5009
Phone (972) 733-0095

540 Surf St
Lewisville, TX 75067-3526
Phone (972) 420-9900

6350 E Mockingbird LN
Dallas, TX 75214-2622
Phone (214) 828-0448

6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110

7910 Belt Line Rd
Dallas, TX 75254-8130
Phone (972) 980-6753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10102TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 1, 2024 Accepting new patients
Primamed Physicians PLLC CurrentSince Dec 15, 2015 Accepting new patients
Texas Health Urgent Care CurrentSince Dec 8, 2021 Accepting new patients
Texas Health Urgent Care Physician Assistant Current Accepting new patients
Texas Health Urgent Care CurrentSince Dec 8, 2021 Accepting new patients
Tidewater Emergency Medical Care Physician Assistant PastSince Feb 2, 2020 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

2855 Preston Rd
Frisco, TX 75034
Phone (469) 495-9118

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: akawoutuwa1049747@direct.texashealth.org
  • Direct secure messaging: athanase.kawoutuwapac.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 11

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1396126173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349438",
            "telephone_number": "469-495-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 PRESTON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349438",
            "telephone_number": "469-495-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWOU TUWA",
        "first_name": "ATHANASE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004974",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akawoutuwa1049747@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2855 Preston Rd",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750349438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.