Individual provider Active NPI

Vivek Hasmukh Tank, MD

  • Vascular Neurology Physician
  • Denison, TX
National Provider Identifier
1508063900
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
Q0576 Issued in TX
Practice address
5012 S US Highway 75 Ste 230
Denison, TX 75020-4634
Phone
(903) 416-6055
Fax
(903) 416-6056
NPI assigned
Jun 29, 2007
Last updated
Jan 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X Q0576 TX Primary

Addresses

Primary practice location

5012 S US Highway 75 Ste 230
Denison, TX 75020-4634

Mailing address

5012 S US Highway 75 Ste 300
Attn: Billing
Denison, TX 75020-4589
Phone (903) 416-6055

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119002195 TX Practitioner - Interventional CardiologyPractitioner - Vascular SurgeryPractitioner - NeurologyPractitioner - Nuclear Medicine 2466674833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Vascular Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 120
Denison, TX 75020-4587
Phone (903) 416-6460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
57.18
Promoting interoperability
86
Improvement activities
40
Cost
70.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Specialty Physicians CurrentSince Jul 1, 2017 Accepting new patients
Talis Healthcare LLC CurrentSince May 24, 2023 Accepting new patients
Texomacare PastSince Jul 1, 2017 Accepting new patients

Locations

2623 Matlock Rd
Ste 103
Arlington, TX 76015
Phone (817) 275-1900

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 120
Denison, TX 75020
Phone (903) 416-5300

5012 US Highway 75
Ste 230
Denison, TX 75020
Phone (469) 252-3510

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

2517 Virginia Pkwy
Ste 102
McKinney, TX 75071

3017 E Renner Rd
Ste 110
Richardson, TX 75082
Phone (214) 463-4752

321 N Highland Ave
Ste 200
Sherman, TX 75092

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA
  • Direct secure messaging: vivek.tank@tcsp.eclinicaldirectplus.com

Organizations & group practices 3

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 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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1508063900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATTN: BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 230",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204634",
            "telephone_number": "903-416-6055",
            "fax_number": "903-416-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANK",
        "first_name": "VIVEK",
        "middle_name": "HASMUKH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "Q0576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.