Active NPI
Tara Phillipp Vierra, M.D.
- Pediatrics Physician
- Edinburg, TX
National Provider Identifier
1629323118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P9274
- Practice address
- 4150 Crosspoint Blvd
Edinburg, TX 78539-1803 - Phone
- (956) 296-1960
- Fax
- (956) 381-5397
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P9274 | TX | Primary |
Addresses
Primary practice location
4150 Crosspoint Blvd
Edinburg, TX 78539-1803
Mailing address
PO Box 531968
Harlingen, TX 78553-1968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338892805 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Rio Grande Valley | Pediatrics | Current | Accepting new patients |
| The University of Texas Rio Grande Valley | Current | Accepting new patients | |
| Columbia Valley Healthcare System, L.P. | Past | Accepting new patients | |
| VHS Brownsville Hospital Company LLC | Past | Accepting new patients | |
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Locations
4150 Crosspoint Blvd
Edinburg, TX 78539
Phone (956) 296-1960
2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437
2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100
2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831
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.
-
- Internal Medicine Physician
- Harlingen, TX
- NPI 1477960730
Pediatrics
-
- Physiological Laboratory
- McAllen, TX
- NPI 1376436998
-
- General Acute Care Hospital
- Brownsville, TX
- NPI 1043267701
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
-
- General Acute Care Hospital
- Brownsville, TX
- NPI 1184911877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1629323118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 531968",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785531968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 CROSSPOINT BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391803",
"telephone_number": "956-296-1960",
"fax_number": "956-381-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "TARA",
"middle_name": "PHILLIPP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P9274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "338892805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.