DR. WINFRED SCILLA TOVAR M.D.
NPI 1427230580
Anesthesiology - Critical Care Medicine in Houston, TX

Active since November 30, 2007PECOS EnrolledAccepts Medicare Assignment
99.14/100
CMS Quality Rating
6651 MAIN ST, HOUSTON, TX 77030(832) 826-6264 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Jul 13, 2022 (2 updates tracked since 2022).

About Dr. Winfred Scilla Tovar M.d. NPPES

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

DR. WINFRED SCILLA TOVAR M.D. (NPI 1427230580) is an individual critical care medicine provider in Houston, Texas, licensed in Texas (T5682) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427230580
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameDR. WINFRED SCILLA TOVARCredential: M.D.
Location Address6651 MAIN STHouston, TX 77030-2351
Mailing Address221 W Colorado Blvd Ste 525Dallas, TX 75208-2312 · (214) 960-5681 · Fax (214) 960-5681
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateNovember 30, 2007
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1427230580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in TX · T5682
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 241588 (NY)
Also ListedObstetrics & Gynecology · Critical Care MedicineTaxonomy 207VC0200X · License T5682 (TX)
6651 MAIN ST, Houston, TX 77030

Secondary Practice Locations 2

Location 1221 W Colorado Blvd Ste 525Dallas, TX 75208-2312 · Phone (214) 960-5681 · Fax (214) 960-5681
Location 21 Baylor PlzHouston, TX 77030-3411 · Phone (832) 355-2666

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Winfred Scilla Tovar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385700541
PECOS Enrollment IDI20220906001025
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

3

Medicare enrollment records show Winfred Tovar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
Critical Care Medicine
1111 MEDICAL PLAZA DR, SUITE 250
The Woodlands, TX 77380
  • Reassigned Medicare billing, Texas enrollment
  • 72 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
227 services96 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.89
Promoting Interoperability95
Improvement Activities40

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.

Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Nurse Practitioner (Pediatrics)
6651 MAIN ST
HOUSTON, TX 77030
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6651 MAIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030

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 Winfred Tovar's NPI number?

The NPI number for Winfred Tovar is 1427230580. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Winfred Tovar located?

Winfred Tovar practices at 6651 Main St, Houston, TX 77030. The listed phone number is (832) 826-6264.

What is Winfred Tovar's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Winfred Tovar enrolled in Medicare?

Yes. Winfred Tovar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Winfred Tovar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Winfred Tovar reassigns Medicare benefits to 3 organizations: Texas Children's Physician Group (Houston, TX), Tmh Physician Associates PLLC (Houston, TX) and Wael Asi MD PA (The Woodlands, 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 Winfred Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Winfred Tovar accept?

Health plans from Blue Cross and Blue Shield of Texas list Winfred Tovar 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.

Is Winfred Tovar affiliated with any hospitals?

According to CMS data, Winfred Tovar is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Winfred Tovar was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.