UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
NPI 1063915916
Surgery - Trauma Surgery in Tyler, TX

Active since March 16, 2018CLIA Certified · 3 labs
1000 S BECKHAM AVE, TYLER, TX 75701(903) 597-0351(903) 535-6334 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ut Health East Texas Tyler Regional Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL (NPI 1063915916) is a healthcare organization registered as a trauma surgery in Tyler, Texas and active in the NPI registry since March 2018. The organization holds 3 active CLIA laboratory certificates and lists Stephen C. Petrovich, Evp, as its authorized official.

NPPES Registry Identity

NPI1063915916
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameTYLER REGIONAL HOSPITAL LLC
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195 · (615) 296-3000 · Fax (615) 296-6227
Fax(903) 535-6334
Organization SubpartNo
Authorized OfficialStephen C. PetrovichEvp · (615) 296-3000
Enumeration DateMarch 16, 2018
NPI 1063915916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

1000 S BECKHAM AVE, Tyler, TX 75701

Other Names 1

Doing Business AsUt Health East Texas Tyler Regional Hospital

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D0690599

Tyler Regional Hospital, LLC · Tyler, TX
Active · expires Feb 8, 2027
CLIA Number45D0690599
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Luis A. Destarac
Laboratory Phone(903) 597-0351
Laboratory LocationTyler Regional Hospital, LLC1000 S Beckham, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D0052065

Tyler Regional Hospital, LLC · Tyler, TX
Active · expires Feb 8, 2027
CLIA Number45D0052065
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Foy G. Forehand
Laboratory Phone(903) 531-8882
Laboratory LocationTyler Regional Hospital, LLC1000 South Beckham Ave Attn Lab- Joy Anderson, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D1077458

Tyler Regional Hospital, LLC · Tyler, TX
Active · expires Dec 10, 2027
CLIA Number45D1077458
Laboratory TypeOther
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorEvans Smith
Laboratory Phone(903) 526-4325
Laboratory LocationTyler Regional Hospital, LLC833 South Beckham Ave, Tyler, TX 75701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Ut Health East Texas Rehabilitation Hospital (CMS certification number 453072), from CMS Care Compare.

Ut Health East Texas Rehabilitation Hospital

Inpatient rehabilitation facility · Tyler, TX
OwnershipFor profit
CMS Certification Number453072
Medicare-Certified SinceAugust 10, 1995
Location701 Olympic Plaza CircleTyler, TX 75701
Freestanding rehabilitation hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation
Stroke
152
patient stays
Hip or knee replacement, amputation or other bone or joint condition
152
patient stays
Hip or femur fracture
62
patient stays
Brain disease or condition (non-traumatic)
36
patient stays
Brain injury (traumatic)
30
patient stays
Spinal cord disease or condition (non-traumatic)
26
patient stays
Nervous system disorder (excluding stroke)
25
patient stays
Spinal cord injury (traumatic)
Less than 11 patient stays
All other conditions
167
patient stays
Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found
Drug Regimen Review · 654 patient stays
97.2%
Patients given a current list of their medications at discharge
Transfer of Health Information to the Patient · 576 patient stays
100%
Medication list sent to the next provider at discharge
Transfer of Health Information to the Provider · 78 patient stays
100%
Patients who meet or exceed the self-care ability expected for their condition at discharge
Discharge Self-Care Score · 569 patient stays
45.3%
Patients who meet or exceed the mobility expected for their condition at discharge
Discharge Mobility Score · 569 patient stays
28.8%
Patients who meet or exceed the overall function expected at discharge
Discharge Function Score · 569 patient stays
38.84%
Patients who experienced one or more falls with major injury during their stay
654 patient stays · Lower rates are better for this measure.
0.3%
Patients with pressure ulcers or injuries that are new or worsened
Risk-adjusted rate · 654 patient stays · observed rate 1.5% · Lower rates are better for this measure.
1.3%
Healthcare workers given the influenza vaccine
271 healthcare workers
82.7%
Healthcare workers up to date on COVID-19 vaccination
262 healthcare workers
0%
Catheter-associated urinary tract infections (CAUTI)
0 observed infections · 1.029 predicted · 505 urinary catheter days
0.000
standardized infection ratio
No Different than the National Benchmark
Clostridioides difficile (C. diff) infections
1 observed infections · 3.042 predicted · 11,338 patient days
0.329
standardized infection ratio
No Different than the National Benchmark
Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community
354 of 587 patient stays · observed rate 60.31%
61.84%
risk-standardized rate
Worse than the National Rate
Potentially preventable readmissions within 30 days after discharge
42 readmissions of 564 patient stays · observed rate 7.45% · Lower rates are better for this measure.
8.59%
risk-standardized rate
No Different than the National Rate
Potentially preventable readmissions during the rehabilitation stay
37 readmissions of 623 patient stays · observed rate 5.94% · Lower rates are better for this measure.
5.62%
risk-standardized rate
No Different than the National Rate
Medicare spending per episode of care
1.00 = national average per episode of care · based on 549 episodes
1.06
spending ratio
Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Specialist
1000 S BECKHAM AVE
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Regional Hospital LLC's NPI number?

The NPI number for Tyler Regional Hospital LLC is 1063915916. It was assigned to this organization in the NPPES registry on March 16, 2018. The provider is doing business as Ut Health East Texas Tyler Regional Hospital.

Where is Tyler Regional Hospital LLC located?

Tyler Regional Hospital LLC is located at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 597-0351.

What is Tyler Regional Hospital LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Does Tyler Regional Hospital LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Tyler Regional Hospital LLC a Medicare-certified inpatient rehabilitation facility?

Yes. Ut Health East Texas Rehabilitation Hospital is a Medicare-certified inpatient rehabilitation facility (CMS certification number 453072), certified since August 10, 1995.

What insurance does Tyler Regional Hospital LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Tyler Regional Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Regional Hospital LLC was last updated on March 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.