Individual provider Active NPI

Tommie T Harris, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Flower Mound, TX
National Provider Identifier
1750606802
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1947 Issued in TX
Practice address
4491 Long Prairie Rd Ste 550
Flower Mound, TX 75028-1795
Phone
(214) 285-0010
Fax
(214) 285-0026
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X T28-2009 TX
Clinical Medical Laboratory 291U00000X 45D2274201 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1947 TX Primary

Addresses

Primary practice location

4491 Long Prairie Rd Ste 550
Flower Mound, TX 75028-1795

Mailing address

4491 Long Prairie Rd Ste 550
Flower Mound, TX 75028-1795
Phone (214) 285-0010

Other identifiers 3

IdentifierTypeStateIssuer
TXB105287OtherTXMEDICARE PTAN
213917201MedicaidTX
TXB128789OtherTXMEDICARE PTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000374 TX Practitioner - Podiatry 6103959879 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4491 Long Prairie Rd
Suite 550
Flower Mound, TX 75028-2013
Phone (214) 285-0010

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as individual
Quality
59.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions14
Removal of nail tissue955
Removal or shaving of skin growth534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45D2274201TXMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Consultants of Texas, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tommie.harris.dpm.1@18577.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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 1

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1750606802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 LONG PRAIRIE RD STE 550",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "214-285-0010",
            "fax_number": "214-285-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 LONG PRAIRIE RD STE 550",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "214-285-0010",
            "fax_number": "214-285-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TOMMIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T28-2009",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2274201",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB105287",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213917201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB128789",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.