NPIMap

Individual provider Active NPI

Tiffany Hill, MD

  • Pediatrics Physician
  • Tyler, TX
National Provider Identifier
1730299306
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S0299 Issued in TX
Practice address
1000 E 5TH St Ste 100
Tyler, TX 75701-3307
Phone
(903) 590-5000
Fax
(903) 590-5005
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 S0299 TX Primary

Addresses

Primary practice location

1000 E 5TH St Ste 100
Tyler, TX 75701-3307

Mailing address

1000 E 5TH St Ste 100
Tyler, TX 75701-3307
Phone (903) 590-5000

Other practice location 1

1222 Trotwood Ave
Suite 101
Columbia, TN 38401
Phone (931) 388-8965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000934 TX Practitioner - Pediatric Medicine 9739428806 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S0299TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Aug 1, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Aug 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Feb 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Feb 1, 2019 Accepting new patients
Columbia Pediatric Clinic, Inc. Past Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients
Starks Medical Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients
Tyler Regional Hospital LLC Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

1000 E 5th St
Ste 100
Tyler, TX 75701
Phone (903) 590-5000

2231 W Gentry Pkwy
Tyler, TX 75702
Phone (903) 877-7343

Interoperability endpoints

  • Direct secure messaging: thill294890@christushealth.direct-ci.net
  • Direct secure messaging: thill355012@ahs.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1730299306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013307",
            "telephone_number": "903-590-5000",
            "fax_number": "903-590-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013307",
            "telephone_number": "903-590-5000",
            "fax_number": "903-590-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 Trotwood Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-388-8965",
            "fax_number": "931-840-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S0299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.