Active NPI
Tianjie Lai, PA-C
- Surgical Physician Assistant
- Shenandoah, TX
National Provider Identifier
1891828851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA03947
- Practice address
- 9201 Pinecroft Dr
Shenandoah, TX 77380-3222 - Phone
- (936) 441-1010
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA03947 | TX | Primary |
Addresses
Primary practice location
9201 Pinecroft Dr
Shenandoah, TX 77380-3222
Mailing address
920 Medical Plaza Dr Ste 360
Shenandoah, TX 77380-3271
Phone (281) 803-8482
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190194401 | Medicaid | TX | |
| P00414114 | Other | GA | RAILROAD MEDICARE |
| 8Y1782 | Other | TX | BCBS OF TEXAS |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Texas Physicians Network Inc | Past | Accepting new patients | |
| East Texas Clinical Services Inc | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- tlai122330@directhoustonmethodist.org
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
- Houston, TX
- NPI 1437242617
-
- Internal Medicine Physician
- Shenandoah, TX
- NPI 1326596776
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Conroe, TX
- NPI 1538104351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1891828851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR STE 360",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803271",
"telephone_number": "281-803-8482",
"fax_number": "281-803-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803222",
"telephone_number": "936-441-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "TIANJIE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA03947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190194401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00414114",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8Y1782",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.