Individual provider Active NPI

Anselm Jingwa Tintinu, MD

  • Surgery Physician
  • Victoria, TX
National Provider Identifier
1477878361
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-13216 Issued in AR
Practice address
2700 Citizens PLZ Ste 403
Victoria, TX 77901-5757
Phone
(361) 575-6396
Fax
(361) 578-5203
NPI assigned
Apr 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-13216 AR Primary

Addresses

Primary practice location

2700 Citizens PLZ Ste 403
Victoria, TX 77901-5757

Mailing address

2700 Citizens PLZ Ste 403
Victoria, TX 77901-5757
Phone (361) 575-6396

Other practice location 1

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

Other identifiers 1

IdentifierTypeStateIssuer
239567001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address surgicalclinic@magnoliaclinics.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200506000075 AR Practitioner - General Surgery 8820231418 Reassigns benefits to 1 organization
I20230830000120 TX Practitioner - General Surgery 8820231418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Medical Center County of VictoriaGroup PAC ID 3577785096, 102 clinicians

Practice addresses (Care Compare)

2701 Hospital Dr
Victoria, TX 77901-5749
Phone (361) 573-9181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13216ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita County Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Ouachita County Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Ouachita County Medical Center Current Accepting new patients
Citizen's Medical Center County of Victoria Surgery CurrentSince Aug 1, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

101 James Coleman Dr
Victoria, TX 77904
Phone (346) 541-6421

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

2700 Citizens Plz
Ste 403
Victoria, TX 77901
Phone (361) 575-6396

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

102 Medical Dr
Victoria, TX 77904
Phone (361) 576-6200

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Organizations & group practices 5

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1477878361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ STE 403",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015757",
            "telephone_number": "361-575-6396",
            "fax_number": "361-578-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ STE 403",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015757",
            "telephone_number": "361-575-6396",
            "fax_number": "361-578-5203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015749",
            "country_code": "US",
            "telephone_number": "361-573-9181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINTINU",
        "first_name": "ANSELM",
        "middle_name": "JINGWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-13216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239567001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "surgicalclinic@magnoliaclinics.hin.us",
            "affiliation": "N",
            "endpointDescription": "Surgical Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 E Columbia",
            "city": "Magnolia",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717532436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.