NPIMap

Individual provider Active NPI

Irvin Co Tantuco, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1508025412
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N0497 Issued in TX
Practice address
1213 Hermann Dr Ste 610
Houston, TX 77004-7012
Phone
(713) 524-3900
Fax
(713) 527-8356
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ABIM282060 PA
Internal Medicine Physician 207R00000X N0497 TX Primary

Addresses

Primary practice location

1213 Hermann Dr Ste 610
Houston, TX 77004-7012

Mailing address

1213 Hermann Dr Ste 610
Houston, TX 77004-7012
Phone (713) 524-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000497 TX Practitioner - Internal Medicine 9133296668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oprex Medical Group PLLCGroup PAC ID 2769861707, 5 clinicians

Practice addresses (Care Compare)

12121 Richmond Ave
Houston, TX 77082-2420
Phone (281) 920-5558

1213 Hermann Dr
Suite 610
Houston, TX 77004-7012
Phone 71352439007092

Hospital & facility affiliations

  • Total Home Care Inc Home health agency, Houston, TX, CCN 459406
  • Height'S Hospice Care, L.L.C. Hospice, Houston, TX, CCN 971728
  • Icare Hospice Hospice, Houston, TX, CCN 741742
  • HCA Houston Healthcare Medical Center Hospital, Houston, TX, CCN 450659
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
  • Womans Hospital of Texas,the Hospital, Houston, TX, CCN 450674
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0497TXMDInternal Medicine Physician
ABIM282060PAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Doctors PLLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Oprex Medical Group, PLLC Sleep Medicine CurrentSince Mar 26, 2024 Accepting new patients
Houston - PPH, LLC Past Accepting new patients
Premier Medical Doctors Inc. Internal Medicine Past Accepting new patients

Locations

1200 Binz St
Ste 950
Houston, TX 77004
Phone (713) 493-7700

12121 Richmond Ave
Ste 104
Houston, TX 77082
Phone (281) 920-5558

6699 Chimney Rock Rd
Ste 202
Houston, TX 77081
Phone (281) 920-5558

1213 Hermann Dr
Ste 610
Houston, TX 77004
Phone (281) 985-9362

1213 Hermann Dr
Ste 570
Houston, TX 77004
Phone (713) 524-3900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBICCD/Endpoint/FBICCD

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1508025412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047012",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047012",
            "telephone_number": "713-524-3900",
            "fax_number": "713-527-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTUCO",
        "first_name": "IRVIN",
        "middle_name": "CO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-07-12",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "ABIM282060",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.