Individual provider Active NPI

Ceres Tiu, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1891981171
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
P7994 Issued in TX
Practice address
1325 Pennsylvania Ave
Fort Worth, TX 76104-2158
Phone
(817) 887-9389
Fax
(817) 887-9392
NPI assigned
Sep 19, 2007
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X P7994 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave
Fort Worth, TX 76104-2158

Mailing address

PO Box 802772
Dallas, TX 75380-2772
Phone (972) 484-7700

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
I20140128001619 TX Practitioner - Infectious Disease 2961680780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1307 8TH Ave
Suite 306
Fort Worth, TX 76104-4140
Phone (817) 718-6648

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7994TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Infectious Disease CurrentSince Apr 1, 2021 Accepting new patients
Meridian Infectious Disease Consultants, PLLC Infectious Disease CurrentSince Jul 26, 2021 Accepting new patients

Locations

1307 8th Ave
Ste 306
Ft Worth, TX 76104
Phone (813) 943-2570

2830 S Hulen St
Ft Worth, TX 76109
Phone (817) 239-3915

6100 Harris Pkwy
Ste 1210
Ft Worth, TX 76132
Phone (817) 841-9447

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1891981171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802772",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753802772",
            "telephone_number": "972-484-7700",
            "fax_number": "972-484-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-887-9389",
            "fax_number": "817-887-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "CERES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.