Individual provider Active NPI

Tira Chaicha-Brom, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
National Provider Identifier
1548434756
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P5049 Issued in TX
Practice address
6500 N Mopac, BLDG 3, Ste 200
Austin, TX 78731-4309
Phone
(512) 458-8400
Fax
(512) 458-8593
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P5049 TX Primary

Addresses

Primary practice location

6500 N Mopac, BLDG 3, Ste 200
Austin, TX 78731-4309

Mailing address

6500 N Mopac, BLDG 3, Ste 200
Austin, TX 78731-4309
Phone (512) 458-8400

Other identifiers 2

IdentifierTypeStateIssuer
8DP866OtherTXBCBS INDIVIDUAL
P5049OtherTXSTATE LICENSE

Other names 1

  • Tira Chaicha Former name

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
I20130802000858 TX Practitioner - Endocrinology 0749422731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Diabetes and Endocrinology, P.a.Group PAC ID 3577459031, 25 clinicians

Practice addresses (Care Compare)

6500 N Mopac Expressway
BLDG 3 Suite 200
Austin, TX 78731-4309
Phone (512) 458-8400

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346

Merit-based Incentive Payment System (MIPS)

Final score
75.33 of 100Reported as group
Quality
65.64
Promoting interoperability
76
Improvement activities
40
Cost
72.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5049TXMDEndocrinology, Diabetes & Metabolism Physician

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1548434756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC, BLDG 3, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314309",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC, BLDG 3, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314309",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAICHA-BROM",
        "first_name": "TIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8DP866",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "P5049",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIRA",
            "last_name": "CHAICHA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.