Active NPI
Saulette Raquel Tillman, M.D.
- Cardiovascular Disease Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- M6361
- Practice address
- 6818 Austin Center Blvd Ste 205
Austin, TX 78731-3100 - Phone
- (512) 344-0450
- Fax
- (512) 406-7318
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | M6361 | TX | Primary |
Addresses
Primary practice location
6818 Austin Center Blvd Ste 205
Austin, TX 78731-3100
Mailing address
6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 483-9596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00J21A | Other | TX | GROUP MEDICARE PIN |
| 094010801 | Other | TX | GROUP MEDICAID |
Other names 1
- Dr. Saulette Raquel Queen
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wake Forest University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2911 Medical Arts St
Suite 10
Austin, TX 78705-3302
Phone (866) 473-0663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
| Post Acute Specialists of Texas PA | Cardiovascular Disease | Current | Accepting new patients |
| Scott & White Clinic | Internal Medicine | Current | Accepting new patients |
Locations
2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1942859350
Cardiovascular Disease
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Heart Hospital of Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1922298579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E HWY 290",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231142",
"telephone_number": "512-483-9596",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6818 AUSTIN CENTER BLVD STE 205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313100",
"telephone_number": "512-344-0450",
"fax_number": "512-406-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "SAULETTE",
"middle_name": "RAQUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "M6361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "00J21A",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "094010801",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAULETTE",
"last_name": "QUEEN",
"middle_name": "RAQUEL",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.