Individual provider Active NPI

Tina Oliver, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1467470245
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1071 Issued in TX
Practice address
2309 Blodgett St
Houston, TX 77004-5254
Phone
(713) 661-3393
Fax
(713) 661-3394
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1071 TX Primary

Addresses

Primary practice location

2309 Blodgett St
Houston, TX 77004-5254

Mailing address

2309 Blodgett St
Houston, TX 77004-5254
Phone (713) 661-3393

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000917 TX Practitioner - Podiatry 2365338035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2309 Blodgett St
Houston, TX 77004-5254
Phone (713) 661-3393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1071TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Astro Foot Care PA Podiatrist CurrentSince Oct 1, 1990 Accepting new patients

Locations

2309 Blodgett St
Houston, TX 77004
Phone (713) 661-3393

2626 S Loop W
Ste 115
Houston, TX 77054
Phone (713) 432-1695

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDHCDA/Endpoint/EDHCDA
  • Direct secure messaging: tinap.oliver@direct.memorialhermann.org
  • Direct secure messaging: toliver51741@memorialhermann.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467470245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 BLODGETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045254",
            "telephone_number": "713-661-3393",
            "fax_number": "713-661-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 BLODGETT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045254",
            "telephone_number": "713-661-3393",
            "fax_number": "713-661-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "TINA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.