DR. JOHN TULLY M.D.
NPI 1356335772
Emergency Medicine - Emergency Medical Services in San Antonio, TX

Active since August 31, 2005PECOS Enrolled
111 DALLAS ST, EMERGENCY ROOM, SAN ANTONIO, TX 78205(210) 614-0180(210) 615-7170 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John Tully M.d. NPPES

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

DR. JOHN TULLY M.D. (NPI 1356335772) is an individual emergency medical services provider in San Antonio, Texas, licensed in Texas (L9524) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356335772
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDR. JOHN TULLYCredential: M.D.
Location Address111 DALLAS ST, EMERGENCY ROOMSan Antonio, TX 78205-1201
Mailing AddressPo Box 12740Westminster, CA 92685-2740 · (562) 809-3527
Fax(210) 615-7170
Sole ProprietorYes
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 2, 2009
✔ NPI 1356335772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in TX · L9524
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
111 DALLAS ST, San Antonio, TX 78205

Other Identifiers 6

Medicare PIN610828TX
Medicaid168435902TX
Other8M8132TX · Bcbs
Medicare PIN8L17430TX
Medicare PINP00122217TX
Medicaid168435901TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Tully M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Tully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4103 NORTH LOOK 1604 W
San Antonio, TX 78249
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
111 DALLAS ST
SAN ANTONIO, TX 78205
Psychiatry & Neurology (Psychiatry)
111 DALLAS ST
SAN ANTONIO, TX 78205
Internal Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Physical Medicine & Rehabilitation
111 DALLAS ST
SAN ANTONIO, TX 78205
Occupational Therapist
111 DALLAS ST
SAN ANTONIO, TX 78205
Nurse Practitioner (Family)
111 DALLAS ST
SAN ANTONIO, TX 78205
Emergency Medicine
111 DALLAS ST
SAN ANTONIO, TX 78205
Long Term Care Hospital
111 DALLAS ST, 4TH FL
SAN ANTONIO, TX 78205

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 John Tully's NPI number?

The NPI number for John Tully is 1356335772. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is John Tully located?

John Tully practices at 111 Dallas St Emergency Room, San Antonio, TX 78205. The listed phone number is (210) 614-0180.

What is John Tully's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is John Tully enrolled in Medicare?

Yes. John Tully is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Tully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Tully reassigns Medicare benefits to 2 organizations: Third Coast Emergency Physicians Southwest PA (San Antonio, TX) and Travis County Emergency Physicians PA (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Tully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Tully accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Sendero Health Plans, Local Nonprofit and 1 other insurer list John Tully 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 John Tully was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.