DR. MARY TANEOUS (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1013984780

DR. MARY TANEOUS (MD) is a healthcare provider. based in Addison, Texas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 000346 (GA). The NPI Number for DR. MARY TANEOUS (MD) is 1013984780

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY TANEOUS (MD)
NPI
1013984780
Phone
(317) 275-8000
Address
14275 MIDWAY RD
Enumeration Date
2 March 2006
Last Update Date
6 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067378382
Graduation Year
1996 (30 years ago)
PAC ID
8022021112
Group Practice PAC ID
3779574546
Professional Enrollment ID
I20060712000242
Address ID
GA309012612AU1350XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

391 PATHOLOGY in GA

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Provider Addresses for DR. MARY TANEOUS (MD)

  • 14275, Midway Road, Addison, Dallas County, Texas, 75001, United States

    SUITE 400

    ADDISON, TX 750013614

    Phone: (317) 275-8000

    Fax: (610) 271-4245

    Type: Mailing

  • University Hospital, 1350, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    AUGUSTA, GA 309012612

    Phone: (706) 774-5400

    Fax: (706) 774-5096

    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: 2006-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060712000242IPathologyGATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity701375$0
88341Special stained specimen slides to examine tissue, each additional procedure372108$0
88342Special stained specimen slides to examine tissue, initial procedure214189$0
88304Pathology examination of tissue using a microscope, moderately low complexity127124$0
88360Microscopic genetic analysis of tumor, manual10634$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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Provider's Procedures

DR. MARY TANEOUS (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88304Pathology examination of tissue using a microscope, moderately low complexity159150
PATHOLOGYGA88307Pathology examination of tissue using a microscope, moderately high complexity10470
PATHOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report3931
PATHOLOGYGA88342Tissue or cell analysis by immunologic technique272213

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: 3779574546View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
-NC

Reviews

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Frequently asked questions

Can I cross-check DR. MARY TANEOUS (MD) using NPI 1013984780?
NPI 1013984780 belongs to DR. MARY TANEOUS (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. MARY TANEOUS (MD)?
You should see DR. MARY TANEOUS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MARY TANEOUS (MD)?
At a glance, DR. MARY TANEOUS (MD) is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARY TANEOUS (MD)?
Directory geography for DR. MARY TANEOUS (MD) centers on Addison, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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