Individual provider Active NPI

Tintu Mariam, RN CASE MANAGER

  • Case Management Agency
  • Missouri City, TX
National Provider Identifier
1568992774
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
981224 Issued in TX
Practice address
5722 Slate Valley CT
Missouri City, TX 77459-5105
Phone
(718) 207-1108
NPI assigned
Jun 20, 2017
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 981224 TX Primary
Registered Nurse 163W00000X 651119-1 NY
Case Manager/Care Coordinator 171M00000X 981224 TX

Addresses

Primary practice location

5722 Slate Valley CT
Missouri City, TX 77459-5105

Mailing address

5722 Slate Valley CT
Missouri City, TX 77459-5105
Phone (718) 207-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
651119-1NYMDRegistered Nurse
981224TXMDCase Management Agency

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical Group P.C. CurrentSince Jul 24, 2022 Accepting new patients
North Shore-Lij Medical PC PastSince Jul 24, 2022 Accepting new patients

Locations

1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042
Phone (516) 872-4100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1568992774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 SLATE VALLEY CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595105",
            "telephone_number": "718-207-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 SLATE VALLEY CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595105",
            "telephone_number": "718-207-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIAM",
        "first_name": "TINTU",
        "credential": "RN CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "981224",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "651119-1",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "981224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.