Active NPI
Tad W Taylor, MD, PHD
- Specialist
- Richardson, TX
National Provider Identifier
1841246121
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Mar 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K3863
- Practice address
- 1920 N Collins Blvd
Richardson, TX 75080-3525 - Phone
- (214) 575-8700
- Fax
- (214) 575-8705
- NPI assigned
- May 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | K3863 | TX | Primary |
Addresses
Primary practice location
1920 N Collins Blvd
Richardson, TX 75080-3525
Mailing address
1920 N Collins Blvd
Richardson, TX 75080-3525
Phone (214) 575-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U9680 | Other | TX | BCBS PROVIDER NUMBER |
| 104843103 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campion Emergency Physicians PLLC | Past | Accepting new patients | |
| Taylor Texas Medicine, MD PA | Specialist | Past | Accepting new patients |
| Rush Creek Emergency Physicians PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Richardson, TX
- NPI 1669655965
-
- Emergency Medicine Physician
- Irving, TX
- NPI 1558551168
-
- Emergency Medicine Physician
- Arlington, TX
- NPI 1851623540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1841246121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 N COLLINS BLVD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803525",
"telephone_number": "214-575-8700",
"fax_number": "214-575-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 N COLLINS BLVD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803525",
"telephone_number": "214-575-8700",
"fax_number": "214-575-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TAD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K3863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "8U9680",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104843103",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.