Individual provider Active NPI

Grace P Tamesis, M.D., MPH

  • Allergy & Immunology Physician
  • Round Rock, TX
National Provider Identifier
1740288729
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
K1693 Issued in TX
Practice address
16010 Park Valley Dr
Suite 300
Round Rock, TX 78681-3574
Phone
(303) 601-5399
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X K1693 TX Primary
Pediatric Allergy/Immunology Physician 2080P0201X K1693 TX
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X K1693 TX

Addresses

Primary practice location

16010 Park Valley Dr
Suite 300
Round Rock, TX 78681-3574

Mailing address

16010 Park Valley Dr
Suite 300
Round Rock, TX 78681-3574
Phone (303) 601-5399

Other identifiers 1

IdentifierTypeStateIssuer
79878245MedicaidCO

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
I20050224000779 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7618920141 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1693TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Sep 5, 2025 Accepting new patients
Nuestra Clinica del Valle, Inc. Past Accepting new patients

Locations

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

Interoperability endpoints

  • Direct secure messaging: gtamesis494177@prddirect.texaschildrens.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456531200000",
    "number": "1740288729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "SUITE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "303-601-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "SUITE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "303-601-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMESIS",
        "first_name": "GRACE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2016-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "K1693",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "K1693",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "TX",
            "license": "K1693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79878245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.