Individual provider Active NPI

Tracy Mak

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1720370216
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
BP10039804 Issued in TX
Practice address
1504 Taub Loop
Ben Taub General Hospital Emergency Center
Houston, TX 77030-1608
Phone
(713) 873-7045
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10039804 TX Primary

Addresses

Primary practice location

1504 Taub Loop
Ben Taub General Hospital Emergency Center
Houston, TX 77030-1608

Mailing address

1504 Taub Loop
Ben Taub General Hospital Emergency Center
Houston, TX 77030-1608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20180228001499 NE Practitioner - Emergency Medicine 0840511390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Emergency Medicine PCGroup PAC ID 4587651922, 31 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 481-9049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.5 of 100Reported as group
Quality
90.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10039804TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Emergency Medicine PC Emergency Medicine CurrentSince Jan 27, 2018 Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

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.

Hospital & facility affiliations 3

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1720370216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "address_2": "BEN TAUB GENERAL HOSPITAL EMERGENCY CENTER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 TAUB LOOP",
            "address_2": "BEN TAUB GENERAL HOSPITAL EMERGENCY CENTER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301608",
            "telephone_number": "713-873-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAK",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10039804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.