P Praxis·MD
● Active Type 1 · Individual

DR. Michael Tiller, MD

Surgery·Fort Sam Houston, TX· NPI 1356306658 · Enumerated 2006 · 20 years on NPI
Tiller is 1 of 10 surgery providers in Fort Sam Houston and 1 of 159 in Texas.
NPI age
20 years
Enumerated 2006-04-19
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
MI, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-04-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 159 active surgery providers in Texas.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
3
In the 58% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2024252103fax 2152434605
Mailing address
117 E Lullwood Ave
San Antonio, TX 782122317
📞 2024252103

Specialties

  • Surgery Primary
    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
    MI license #4301075583 taxonomy 2086S0127X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    MI license #4301075583 taxonomy 171000000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    MI license #4301075583PA license #MD457338 taxonomy 208600000X
  • Surgery
    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
    PA license #MD457338 taxonomy 2086S0102X

Identifiers

TypeValueNotes
05 (DC) 1356306658
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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