Active NPI
Tayzar Htun
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1629459250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A150754
- Practice address
- 401 Paradise Rd Ste E
Modesto, CA 95351-3163 - Phone
- (209) 576-3523
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A150754 | CA | Primary |
Addresses
Primary practice location
401 Paradise Rd Ste E
Modesto, CA 95351-3163
Mailing address
401 Paradise Rd Ste E
Modesto, CA 95351-3163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525
Hospital & facility affiliations
- Doctors Medical Center
- Emanuel Medical Center
- Adventist Health Sonora
- Doctors Hospital of Manteca
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 46.95
- Improvement activities
- 40
- Cost
- 76.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150754 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalists of Modesto Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Hospitalists of Modesto Medical Group | Past | Accepting new patients |
Locations
1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1821190711
Single Specialty
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1659712586
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1629459250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PARADISE RD STE E",
"city": "MODESTO",
"state": "CA",
"postal_code": "953513163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PARADISE RD STE E",
"city": "MODESTO",
"state": "CA",
"postal_code": "953513163",
"telephone_number": "209-576-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HTUN",
"first_name": "TAYZAR",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A150754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.