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NICOLE MARIE TAPIA M.D.
NPI 1427370261
Surgery in Houston, TX

Active since February 21, 2010PECOS EnrolledAccepts Medicare Assignment
6550 FANNIN ST STE 1661, HOUSTON, TX 77030(713) 441-5141(713) 790-6472 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, May 9, 2017, Feb 23, 2017 and 1 more (4 updates tracked since 2017).

About Nicole Marie Tapia M.d. NPPES

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

NICOLE MARIE TAPIA M.D. (NPI 1427370261) is an individual surgery provider in Houston, Texas, licensed in Texas (P0308) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1427370261
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNICOLE MARIE TAPIACredential: M.D.
Location Address6550 FANNIN ST STE 1661Houston, TX 77030-2765
Mailing Address6550 Fannin St Ste 1661Houston, TX 77030-2765 · (713) 441-5141 · Fax (713) 790-6472
Phone(713) 441-5141
Fax(713) 790-6472
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 21, 2010
Last NPPES UpdateFebruary 23, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1427370261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · P0308
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6550 FANNIN ST STE 1661, Houston, TX 77030
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Other Identifiers 1

Medicaid368430001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Marie Tapia 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 ID3072774504
PECOS Enrollment IDI20120410000738
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.

Areas of Expertise CMS Part B claims 7

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.
127 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
107 services65 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
92 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services27 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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 2

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

DEVEN PATEL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6550 FANNIN ST STE 1661
HOUSTON, TX 77030
Harris County (713) 441-5175
ATTEEBA MANZAR MD
Student in an Organized Health Care Education/Training Program
6550 FANNIN ST STE 1661
HOUSTON, TX 77030
Harris County (713) 393-9604

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 Nicole Tapia's NPI number?

The NPI number for Nicole Tapia is 1427370261. It was assigned to this individual provider in the NPPES registry on February 21, 2010.

Where is Nicole Tapia located?

Nicole Tapia practices at 6550 Fannin St Ste 1661, Houston, TX 77030. The listed phone number is (713) 441-5141.

What is Nicole Tapia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicole Tapia enrolled in Medicare?

Yes. Nicole Tapia 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.

What insurance does Nicole Tapia accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and WellPoint list Nicole Tapia 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 Nicole Tapia affiliated with any hospitals?

According to CMS data, Nicole Tapia is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Tapia was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.