TANWIE P TITA (PA-C) – Physician Assistant, NPI 1447726260

TANWIE P TITA (PA-C) is a healthcare provider. based in Shepherdsville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA12411 (TX). The NPI Number for TANWIE P TITA (PA-C) is 1447726260

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TANWIE P TITA (PA-C)
NPI
1447726260
Phone
(502) 647-4154
Address
1903 W Hebron Ln
Enumeration Date
18 October 2018
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028525341
Graduation Year
2018 (8 years ago)
PAC ID
8123355823
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20250718001063
Address ID
KY401657425SH1903XLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for TANWIE P TITA (PA-C)

  • 1903 W Hebron Ln

    Shepherdsville, KY 401657425

    Phone: (502) 647-4154

    Type: Location

  • 703 S Fleishel Ave Ste 5000

    Tyler, TX 757012015

    Phone: (903) 525-2992

    Type: Location

  • 23115, Brandygate Court, Crossgate Village, Spring, Harris County, Texas, 77373, United States

    SPRING, TX 773738143

    Phone: (281) 475-8311

    Type: Mailing

  • Baylor St. Luke's Medical Center, 6720, Bertner Avenue, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    HOUSTON, TX 770302604

    Phone: (832) 355-6029

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190802001727IPhysician AssistantTXTBD
I20250718001063IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 40165)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476725599View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Diagnostic RadiologyVA
Diagnostic RadiologyKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
O P H T H A L M O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Can I use this page to confirm TANWIE P TITA (PA-C)'s NPI?
Yes. TANWIE P TITA (PA-C) is listed with NPI 1447726260 in the public NPI dataset.
Does the file indicate TANWIE P TITA (PA-C) is practicing under active NPI?
Directory data currently reports TANWIE P TITA (PA-C) as active.
What is TANWIE P TITA (PA-C) best known for clinically?
Directory data describes TANWIE P TITA (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect TANWIE P TITA (PA-C) on a map?
Expect Shepherdsville, Kentucky as a primary anchor for TANWIE P TITA (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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