UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
NPI 1063915916
Surgery - Trauma Surgery in Tyler, TX
NPI Status: Active since March 16, 2018
Contact Information
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
Phone: (903) 597-0351
Fax: (903) 535-6334
- Organization
- Surgery
- Trauma Surgery
- Accepts Insurance
- CLIA Number: 45D2049842
- CLIA Cert. Type: Other - PHYSICAL DIR CLINIC CATH
- CLIA Exp. Date: 02-25-2027
About UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Ut Health East Texas Tyler Regional Hospital, a provider established in Tyler, Texas operating as a Surgery, focusing in trauma surgery . The healthcare provider is registered in the NPI registry with number 1063915916 assigned on March 2018. The practitioner's primary taxonomy code is 2086S0127X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ut Health East Texas Tyler Regional Hospital. The authorized official of this NPI record is Stephen C. Petrovich (Evp)
- NPI
- 1063915916
- Provider Legal Name
- TYLER REGIONAL HOSPITAL LLC
- Other Organization Name
- UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1000 S BECKHAM AVE TYLER, TX 75701
- Location Phone
- (903) 597-0351
- Location Fax
- (903) 535-6334
- Mailing Address
- 1 BURTON HILLS BLVD STE 250 NASHVILLE, TN 37215
- Mailing Phone
- (615) 296-3000
- Mailing Fax
- (903) 535-6334
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2018
- Last Update Date
- 03-16-2018
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 08-10-1995 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL has an ownership type of For profit
- The facility received it's medicare certification date on 08-10-1995
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 167 |
| Brain disease or condition (non-traumatic) | 36 |
| Brain injury (traumatic) | 30 |
| Hip or femur fracture | 62 |
| Hip or knee replacement, amputation or other bone or joint condition | 152 |
| Nervous system disorder (excluding stroke) | 25 |
| Spinal cord disease or condition (non-traumatic) | 26 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 152 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2049842
- Facility Type
- Other - PHYSICAL DIR CLINIC CATH
- Certificate Effective Date
- February 26, 2025
- Certificate Expiration Date
- February 25, 2027
- Laboratory Director
- SHARON SECOLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ut Health East Texas Tyler Regional Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063915916, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
TYLER, TX 75701
TYLER, TX 75701
TYLER, TX 75701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063915916, enumerated as an "organization" on March 16, 2018.
The provider is located at 1000 S BECKHAM AVE TYLER, TX 75701 and the phone number is (903) 597-0351.
Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
