Active NPI
Madeline Jimenez-Torres, M. D.
- Nephrology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- R4245
- Practice address
- 1133 Medical Dr
Tyler, TX 75701 - Phone
- (903) 595-5486
- Fax
- (903) 595-5128
- NPI assigned
- Jul 26, 2011
- Last updated
- Apr 20, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R4245 | TX | Primary |
| General Practice Physician | 208D00000X | 12863 | PR | |
| Hospitalist Physician | 208M00000X | 208030 | LA |
Addresses
Primary practice location
1133 Medical Dr
Tyler, TX 75701
Mailing address
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3870297-01 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1133 Medical Dr
Tyler, TX 75701-2130
Phone (903) 595-5486
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000
2701 US Hwy 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442
300 Wilson St
Henderson, TX 75652-5956
Phone (903) 655-6536
501 S Ragsdale St
Jacksonville, TX 75766-2434
Phone (903) 541-5143
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12863 | PR | MD | Clinical Social Worker |
| R4245 | TX | MD | Nephrology Physician |
| 208030 | LA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Tyler Nephrology Associates, P.a. | Nephrology | Current | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
1133 Medical Dr
Tyler, TX 75701
Phone 9035955486173
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mjimeneztorres32250@direct.acumenmd.com
- mjimeneztorres355359@ahs.direct-ci.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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
dba The Centers For Kidney Care
- Nephrology Physician
- Tyler, TX
- NPI 1942360326
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
dba UTHealth East Texas Jacksonville Hospital
- General Acute Care Hospital
- Jacksonville, TX
- NPI 1730697350
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Pittsburg, TX
- NPI 1184132524
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1689952509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012130",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 MEDICAL DR",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-595-5486",
"fax_number": "903-595-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ-TORRES",
"first_name": "MADELINE",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "R4245",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12863",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "208030",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3870297-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.