Individual provider Active NPI

Hana Maryam Tartibi, MD

  • Allergy & Immunology Physician
  • Denton, TX
National Provider Identifier
1972733996
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
P3083 Issued in TX
Practice address
2617 Scripture St Ste 101
Denton, TX 76201-2398
Phone
(940) 382-4142
Fax
(940) 382-7620
NPI assigned
Jul 24, 2009
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X P3083 TX
Internal Medicine Physician 207R00000X P3083 TX
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X P3083 TX Primary

Addresses

Primary practice location

2617 Scripture St Ste 101
Denton, TX 76201-2398

Mailing address

2617 Scripture St Ste 101
Denton, TX 76201-2398
Phone (940) 382-4142

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
I20120906000057 TX Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Hospitalist 2365699816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Samuel B. Foster, MD. PLLCGroup PAC ID 1850608704, 6 clinicians

Practice addresses (Care Compare)

2617 Scripture St
Suite 101
Denton, TX 76201-2398
Phone (940) 382-4142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3083TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel B. Foster, M.D., PLLC Allergy & Immunology CurrentSince May 1, 2021 Accepting new patients

Locations

2617 Scripture St
Ste 101
Denton, TX 76201
Phone (940) 382-4142

3321 Unicorn Lake Blvd
Ste 121
Denton, TX 76210
Phone (940) 382-4142

1970 W University Dr
Ste 110
Prosper, TX 75078
Phone (940) 382-4142

Interoperability endpoints

  • Direct secure messaging: htartibi432016@direct.sw.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1972733996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SCRIPTURE ST STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012398",
            "telephone_number": "940-382-4142",
            "fax_number": "940-382-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SCRIPTURE ST STE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012398",
            "telephone_number": "940-382-4142",
            "fax_number": "940-382-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTIBI",
        "first_name": "HANA",
        "middle_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P3083",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3083",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P3083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.