Individual provider Active NPI

Tynan S. McCloskey, PA

  • Physician Assistant
  • Webster, TX
National Provider Identifier
1710158092
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05423 Issued in TX
Practice address
711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042
Phone
(281) 332-2626
Fax
(281) 332-7272
NPI assigned
Mar 14, 2008
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05423 TX Primary

Addresses

Primary practice location

711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042

Mailing address

PO Box 8074
Pasadena, TX 77508-8074
Phone (281) 332-2626

Other identifiers 7

IdentifierTypeStateIssuer
8Y9632OtherTXBCBSTX
1710158092OtherOHTRICARE
1710158092OtherTXTRICARE SOUTH
1710158092OtherTXBCBS TX
192684203MedicaidTX
8Y9631OtherTXBXBS TEXAS
192684202MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000369 TX Practitioner - Physician Assistant 3173693074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armstrong Medical Group PLLCGroup PAC ID 5496013187, 30 clinicians

Practice addresses (Care Compare)

1307 W League City Pkwy
League City, TX 77573-6313
Phone (281) 332-2626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05423TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Texas, PLLC CurrentSince Jul 31, 2014 Accepting new patients
Inpatient Consultants of Texas, PLLC. CurrentSince Jul 31, 2014 Accepting new patients
Stellar Hospice LLC Current Accepting new patients

Locations

4545 Post Oak Place Dr
Ste 130
Houston, TX 77027
Phone 7139608008107

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6807 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 908-9555

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1710158092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8074",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775088074",
            "telephone_number": "281-332-2626",
            "fax_number": "281-332-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD STE 602",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984042",
            "telephone_number": "281-332-2626",
            "fax_number": "281-332-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "TYNAN",
        "middle_name": "S.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y9632",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1710158092",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1710158092",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "1710158092",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192684203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS TEXAS",
            "identifier": "8Y9631",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192684202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.