Tyler Gerald Arendt, MD
Individual provider Active NPI Family Medicine Physician · Flint, TX
NPI 1912430950 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1912430950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- S4092 (TX)
- Practice address
- 18118 FM 344 W
Flint, TX 75762-6010 - Phone
- (903) 825-3292
- Fax
- (903) 825-3151
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Practice addresses (Care Compare)
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
Hospital & facility affiliations
- Ut Health East Texas Home Health Services
- Choice Homecare
- Ut Health East Texas Tyler Regional Hospital
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Jacksonville Hospital
- Christus Mother Frances Hospital
- Ut Health East Texas Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629003048 | TX | Practitioner - Family Practice | 5799054730 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4092 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
Interoperability endpoints
- tarendt354944@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S4092 | TX | Yes |
Addresses
Primary practice location
18118 FM 344 W
Flint, TX 75762-6010
Mailing address
11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7777
NPI Registry JSON
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1912430950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18118 FM 344 W",
"city": "FLINT",
"state": "TX",
"postal_code": "757626010",
"telephone_number": "903-825-3292",
"fax_number": "903-825-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENDT",
"first_name": "TYLER",
"middle_name": "GERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S4092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, TX
- Amanda Erin Adams
- Air-O-Tech Respiratory Care Services Inc.
- Lisa E. Allen
- Allyson Robertson LLC
- Mallory Lauren Alsobrook
- Stephanie N Arthurs
- Heather Bell
- Rachel Bell
- Jamie Bishop
- Ryan Bockover
All providers in Flint, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.