EAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC
NPI 1912907353
Internal Medicine - Infectious Disease in Tyler, TX
About East Texas Infectious Disease Consultants, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TEXAS INFECTIOUS DISEASE CONSULTANTS, PLLC (NPI 1912907353) is a healthcare organization registered as an infectious disease in Tyler, Texas and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Carol Conover, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Texas Infectious Disease Consultants, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to East Texas Infectious Disease Consultants, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2110698
East Texas Infectious Disease Consultants · Tyler, TXFrequently 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 East Texas Infectious Disease Consultants, PLLC's NPI number?
The NPI number for East Texas Infectious Disease Consultants, PLLC is 1912907353. It was assigned to this organization in the NPPES registry on July 28, 2005.
Where is East Texas Infectious Disease Consultants, PLLC located?
East Texas Infectious Disease Consultants, PLLC is located at 935 S Baxter Ave Ste 103, Tyler, TX 75701. The listed phone number is (903) 592-4473.
What is East Texas Infectious Disease Consultants, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is East Texas Infectious Disease Consultants, PLLC enrolled in Medicare?
Yes. East Texas Infectious Disease Consultants, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Infectious Disease Consultants, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to East Texas Infectious Disease Consultants, PLLC. A 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 the clinician's services. The largest specialties are Infectious Disease (4) and Nurse Practitioner (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Texas Infectious Disease Consultants, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2110698) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for East Texas Infectious Disease Consultants, PLLC was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# East Texas Infectious Disease Consultants, Pllc · NPI 1912907353
Infectious Disease organization in Tyler, Texas. Organization record, active in the CMS NPPES registry since July 28, 2005.
## Identity
- **NPI:** 1912907353 (Entity type: Organization)
- **Enumerated:** July 28, 2005
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **Organization subpart:** No
- **Authorized official:** Carol Conover, ADMINISTRATOR
## Practice location
- **Address:** 935 S BAXTER AVE, STE 103, Tyler, TX 75701-2245
- **Phone:** (903) 592-4473 · **Fax:** (903) 592-4474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Infectious Disease (4), Nurse Practitioner (4); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2008
- **Other identifiers:** Medicaid 157701701 (TX); Medicare ID-Type Unspecified 00948U (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912907353) · Data from the CMS NPPES public registry.