Tiffany Vangundy, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

130 Regency Pkwy
Mansfield, TX 76063-5167

Phone

(817) 261-1122

NPI assigned

Jun 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mansfield Dermatology, PLLCGroup PAC ID 2769545458, 10 clinicians

United Dermatology Associates of Arlington, PLLCGroup PAC ID 3476954561, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.67 of 100Reported as individual

Quality

93.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Mansfield Dermatology, PLLC

  • Dermatology Physician
  • Mansfield, TX
  • NPI 1598913253
  Medicare reassignment Care Compare group
• United Dermatology Associates of Arlington, PLLC

  • Dermatology Physician
  • Arlington, TX
  • NPI 1386228930
  Medicare reassignment Care Compare group
• United Dermatology Associates of Euless PLLC

  • Dermatology Physician
  • Euless, TX
  • NPI 1528829025
  Medicare reassignment NPD
• United Dermatology Associates of Burleson, PLLC

  • Dermatology Physician
  • Burleson, TX
  • NPI 1457778474
  Medicare reassignment
• United Dermatology Associates of Flower Mound, PLLC

  • Dermatology Physician
  • Flower Mound, TX
  • NPI 1649602954
  Medicare reassignment

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1740630987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635167",
            "telephone_number": "817-261-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635167",
            "telephone_number": "817-261-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGUNDY",
        "first_name": "TIFFANY",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Renteria Valles, FNP
• Valmer Enterprises Inc
• Valor Wellness and Salud Mental Services LLC
• Lakeitha Lashun Van Zandt Muckelroy, REGISTERED NURSE
• Lindsey Vandyke, D.O.
• Farah Vann, LPC
• Sonaj Vardhaman
• Jason Varghese, MD
• Jose Angel Vazquez, PT
• Veinistry Concierge Phlebotomy

• Physician Assistant in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.