Individual provider Active NPI

Anthony Handoyo, DO

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1922532795
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S2792 Issued in TX
Practice address
11937 US Highway 271
Tyler, TX 75708-3154
Phone
(908) 877-7777
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S2792 TX Primary

Addresses

Primary practice location

11937 US Highway 271
Tyler, TX 75708-3154

Mailing address

11937 US Highway 271
Tyler, TX 75708-3154
Phone (908) 877-7777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahandoyo700313@direct.sw.org

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
I20191202001290 TX Practitioner - Family Practice 7416224951 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1650 E Stacy Rd
Suite 160
Allen, TX 75002-8846
Phone (214) 726-9098

Hospital & facility affiliations

  • Lucent Home Health LLC Home health agency, Plano, TX, CCN 743191
  • DFW Home Health McKinney Home health agency, McKinney, TX, CCN 747290
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Medical City Plano Hospital, Plano, TX, CCN 450651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jun 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 28, 2020 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 30, 2020 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Spine and Joint Hospital, LLC CurrentSince Sep 1, 2019 Accepting new patients
Concord Medical Group PLLC CurrentSince Jun 30, 2020 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Texas Health Physicians Group Family Medicine Past Accepting new patients

Locations

1650 E Stacy Rd
Ste 160
Allen, TX 75002
Phone (214) 726-9098

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4461 Coit Rd
Ste 301
Frisco, TX 75035
Phone (214) 619-5425

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4800 Hedgcoxe Rd
Ste 200
Plano, TX 75024
Phone (469) 800-6120

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

Interoperability endpoints

  • Direct secure messaging: ahandoyo2521682@direct.texashealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1922532795",
    "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": "908-877-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11937 US HIGHWAY 271",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083154",
            "telephone_number": "908-877-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDOYO",
        "first_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahandoyo700313@direct.sw.org",
            "affiliation": "N",
            "address_1": "4461 Coit Rd Ste 301",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750350530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.