TARA NESS
NPI 1285165035
Student in an Organized Health Care Education/Training Program in Houston, TX
NPI Status: Active since March 23, 2017
Contact Information
ONE BAYLOR PLAZA BCM 320
DEPARTMENT OF PEDIATRICS
HOUSTON, TX
ZIP 77030
Phone: (406) 370-4731
- Individual
- Female
- Years of Experience 9
- Student in an Organized Health Care Educ...
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About TARA NESS
This page provides the complete NPI Profile along with additional information for Tara Ness, a primary care provider established in Houston, Texas with a medical specialization in Student In An Organized Health Care Education/training Program and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1285165035 assigned on March 2017. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1285165035
- Provider Name
- TARA NESS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- ONE BAYLOR PLAZA BCM 320 DEPARTMENT OF PEDIATRICS HOUSTON, TX 77030
- Location Phone
- (406) 370-4731
- Mailing Address
- ONE BAYLOR PLAZA BCM 320 DEPARTMENT OF PEDIATRICS HOUSTON, TX 77030
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2017
- Last Update Date
- 03-23-2017
- Code Navigator
A primary care provider (PCP) like Tara Ness sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Tara Ness is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Tara Ness is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7618491598
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250414000044
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for TARA NESS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 1 | 6 | 5 | 0 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 2 | 6 | 10 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 2 + 6 + 1 + 0 + 0 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1285165035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720582968 | TIMOTHY GOODMAN SINGER Individual | Student in an Organized Health Care Education/Training Program | ONE BAYLOR PLAZA BCM 320 DEPARTMENT OF PEDIATRICS HOUSTON, TX 77030 (832) 824-1173 |
| 1225569197 | ELIZABETH ANNE MAY M.D. Individual | Pediatrics | ONE BAYLOR PLAZA BCM 320 HOUSTON, TX 77030 (832) 824-1170 |
| 1700319118 | ALICIA HERBISON Individual | Pediatrics | ONE BAYLOR PLAZA BCM 320 DEPARTMENT OF PEDIATRICS HOUSTON, TX 77030 (832) 824-1170 |
| 1891546529 | AMBER LYNN CUNHA MD Individual | Student in an Organized Health Care Education/Training Program | ONE BAYLOR PLAZA BCM 320 HOUSTON, TX 77030 (832) 824-1170 |
| 1003667601 | MARCOS ARMENDARIZ MD Individual | Student in an Organized Health Care Education/Training Program | ONE BAYLOR PLAZA BCM 320 HOUSTON, TX 77030 (832) 824-1170 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285165035, enumerated in the NPI registry as an "individual" on March 23, 2017
The provider is located at One Baylor Plaza Bcm 320 Department Of Pediatrics Houston, Tx 77030 and the phone number is (406) 370-4731
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
The provider has more than 9 years of experience.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.