Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tywaun Kretrica Tillman, MD

Individual provider Internal Medicine Physician · NPI 1710915012

Tywaun Kretrica Tillman, MD is an Interventional Cardiology in Tampa, Florida. Graduated from Medical College of Georgia School of Medicine in 1998, 28 years ago. Practices with Ohi West Medical Group II LLC, a 409-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
28
Trained at
Medical College of Georgia School of Medicine
Licensed in
FL, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4210 W Linebaugh Ave
Tampa, FL 33624-5241
Phone: (813) 884-0923
Fax: (813) 377-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Citizens Plz, Victoria, TX 77901-5754 — (361) 573-0756

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence ME169173 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence M8387 (TX)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence ME169173 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence M8387 (TX)

Record details

NPI number1710915012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Ohi West Medical Group Ii Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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