TYWAUN KRETRICA TILLMAN MD
NPI 1710915012
Internal Medicine - Interventional Cardiology in Tampa, FL
About Tywaun Kretrica Tillman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYWAUN KRETRICA TILLMAN MD (NPI 1710915012) is an individual interventional cardiology provider in Tampa, Florida, licensed in Florida (ME169173) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and maintains a secondary practice location in Victoria.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
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
Tywaun Kretrica Tillman Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tywaun Tillman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Zephyrhills, FL 33542
- Reassigned Medicare billing, Florida enrollment
- 467 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Citizens Medical Center County Of Victoria
- 171 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 34
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Florida Hospital Carrollwood
Acute Care Hospitals · Tampa, FLSt Josephs Hospital
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33624
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 Tywaun Tillman's NPI number?
The NPI number for Tywaun Tillman is 1710915012. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Tywaun Tillman located?
Tywaun Tillman practices at 4210 W Linebaugh Ave, Tampa, FL 33624. The listed phone number is (813) 884-0923.
What is Tywaun Tillman's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Tywaun Tillman enrolled in Medicare?
Yes. Tywaun Tillman 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 Tywaun Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tywaun Tillman reassigns Medicare benefits to 2 organizations: Ohi West Medical Group II LLC (Zephyrhills, FL) and Citizen's Medical Center County Of Victoria (Victoria, 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 Tywaun Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tywaun Tillman accept?
Health plans from AmeriHealth Caritas Next, CHRISTUS Health Plan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Tywaun Tillman 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 Tywaun Tillman affiliated with any hospitals?
According to CMS data, Tywaun Tillman is affiliated with Florida Hospital Carrollwood and St Josephs Hospital.
When was this NPI record last updated?
The NPPES record for Tywaun Tillman was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.