Medical Management Company of Tyler – Infusion Therapy Clinic/Center, NPI 1952812109
Infusion Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Medical Management Company of Tyler
3521 N 4th St Ste 102
Longview, TX 75605
Phone: (855) 478-1528
Type: Location
3603 Paesanos Pkwy Ste 205
San Antonio, TX 782311269
Phone: (855) 478-1528
Type: Location
1718 Rock Prairie Rd
College Station, TX 778455900
Phone: (979) 721-9182
Type: Location
250 E Basse Rd Ste 108
San Antonio, TX 782098409
Phone: (855) 478-1528
Type: Location
Cole Blvd, Lakewood, Jefferson County, Colorado, 80401-4015, United States
LAKEWOOD, CO 804013262
Phone: (720) 465-5030
Type: Mailing
6115 NEW COPELAND RD STE 130
TYLER, TX 757036338
Phone: (972) 598-0000
Type: Location
3603 Paesanos Pkwy Ste 340
San Antonio, TX 782311267
Phone: (855) 478-1528
Type: Location
4423 Loop 322
Abilene, TX 796028056
Phone: (325) 274-6370
Type: Location
1318 Pin Oak Rd
Katy, TX 774946848
Phone: (346) 615-1170
Type: Location
16116 Stuebner Airline Rd Ste 26
Spring, TX 773797327
Phone: (855) 478-1528
Type: Location
2419 Palermo Pkwy Ste E110
Temple, TX 765023790
Phone: (254) 410-0198
Type: Location
18720 Stone Oak Pkwy Ste 101
San Antonio, TX 782584151
Phone: (855) 478-1528
Fax: (972) 598-0019
Type: Location
8145 Highway 6 Ste 400
Missouri City, TX 774595671
Phone: (855) 478-1528
Fax: (972) 598-0019
Type: Location
516 E Loop 281
Longview, TX 756055000
Phone: (903) 803-4134
Type: Location
24345 Gosling Rd Ste 130
Spring, TX 773895474
Phone: (855) 478-1528
Type: Location
New Copeland Road, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 757036369
Phone: (972) 598-0000
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: 2018-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (770 days ago).
Enrollment records
1
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180425002174 | O | Clinic/Group Practice | TX | 2024-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75605)
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