Tiffany Providence, DO
NPI 1316267404 · Diagnostic Radiology Physician · Dallas, TX
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiffany Providence, DO is a Diagnostic Radiology Physician provider in Dallas, TX (NPI 1316267404).
Provider details
- NPI number
- 1316267404
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 5101021534 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,091 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 786 | $8 |
| Screening 3d Breast Mammography77063 | 291 | $28 |
| Screening Mammography77067 | 289 | $38 |
| Ct Scan of Chest Without Contrast71250 | 216 | $48 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 216 | $81 |
| Ct Scan of Chest With Contrast71260 | 151 | $50 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2024-05-09
- Certified
- 2024-04-23
Frequently asked questions
- What is Tiffany Providence's NPI number?
- Tiffany Providence's National Provider Identifier (NPI) is 1316267404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Providence's specialty?
- Tiffany Providence is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Tiffany Providence located?
- Tiffany Providence's practice location on file with NPPES is 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071.
- What is Tiffany Providence's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Providence is (469) 466-7420.
- Does Tiffany Providence accept Medicare?
- Tiffany Providence is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tiffany Providence's NPI active?
- Yes — Tiffany Providence's NPI (1316267404) is active in the NPPES registry as of the last update on 2024-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.