Active NPI
Sandra Michelle Tawil, P.A.
- Physician Assistant
- Edinburg, TX
National Provider Identifier
1821202318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03113
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://api.platform.athenahealth.com/16488/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Edinburg, TX
- NPI 1053830224
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.