Individual provider Active NPI

Sandra Michelle Tawil, P.A.

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1821202318
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03113 Issued in TX
Practice address
4631 S Jackson Rd
Edinburg, TX 78539-7794
Phone
(956) 271-0660
Fax
(956) 525-4211
NPI assigned
May 10, 2007
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03113 TX Primary

Addresses

Primary practice location

4631 S Jackson Rd
Edinburg, TX 78539-7794

Mailing address

4631 S Jackson Rd
Edinburg, TX 78539-7794
Phone (956) 271-0660

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000604 TX Practitioner - Physician Assistant 6901990639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16488/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sandra.tawil.1@16488.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1821202318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397794",
            "telephone_number": "956-271-0660",
            "fax_number": "956-525-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397794",
            "telephone_number": "956-271-0660",
            "fax_number": "956-525-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWIL",
        "first_name": "SANDRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.