Individual provider Active NPI

Ishaq Abdullah Everett Winters, MD

  • Neurology Physician
  • Tyler, TX
National Provider Identifier
1831718782
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
W0777 Issued in TX
Practice address
700 Olympic Plaza Cir Ste 904
Tyler, TX 75701-1958
Phone
(903) 535-6902
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X W0777 TX Primary

Addresses

Primary practice location

700 Olympic Plaza Cir Ste 904
Tyler, TX 75701-1958

Mailing address

700 Olympic Plaza Cir Ste 904
Tyler, TX 75701-1958
Phone (903) 535-6902

Other practice location 1

11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7200

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
I20250918001297 TX Practitioner - Neurology 3274957659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Sep 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Aug 19, 2025 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Sep 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Aug 19, 2025 Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

700 Olympic Plaza Cir
Ste 904
Tyler, TX 75701
Phone (903) 535-6092

Interoperability endpoints

  • Direct secure messaging: iwinters464031@direct.ynhh.org

Organizations & group practices 4

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 2

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1831718782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 904",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011958",
            "telephone_number": "903-535-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 904",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011958",
            "telephone_number": "903-535-6902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11937 US Highway 271",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757083154",
            "country_code": "US",
            "telephone_number": "903-877-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "ISHAQ",
        "middle_name": "ABDULLAH EVERETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "W0777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.