Individual provider Active NPI

Tiffany Hnatow, M.D.

  • Pediatrics Physician
  • Corpus Christi, TX
National Provider Identifier
1699194290
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R0022 Issued in TX
Practice address
6118 Parkway Dr
Corpus Christi, TX 78414-2455
Phone
(361) 883-2000
Fax
(361) 561-1355
NPI assigned
Apr 10, 2014
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R0022 TX Primary

Addresses

Primary practice location

6118 Parkway Dr
Corpus Christi, TX 78414-2455

Mailing address

PO Box 6770
Corpus Christi, TX 78466-6770
Phone (361) 883-2000

Other practice location 1

7600 Fannin St
Houston, TX 77054
Phone (713) 790-1234

Other names 1

  • Miss Tiffany Phuong Le 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
I20170509002016 TX Practitioner - Pediatric Medicine 4688951296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Surgery and Sports Medicine Associates LLPGroup PAC ID 9234190513, 10 clinicians

Practice addresses (Care Compare)

6118 Pkwy Dr
Corpus Christi, TX 78414-2455
Phone (361) 883-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery and Sports Medicine Associates, L.L.P. CurrentSince Jun 16, 2022 Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

6118 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 883-2000

Interoperability endpoints

  • Direct secure messaging: tiffany.hnatow.1@30476.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1699194290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6770",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666770",
            "telephone_number": "361-883-2000",
            "fax_number": "361-561-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 PARKWAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142455",
            "telephone_number": "361-883-2000",
            "fax_number": "361-561-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77054",
            "country_code": "US",
            "telephone_number": "713-790-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HNATOW",
        "first_name": "TIFFANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R0022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "LE",
            "middle_name": "PHUONG",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.