David Nichols, M.D.

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

N0321 Issued in TX

Practice address

2018 Pulliam St
San Angelo, TX 76905

Phone

(325) 659-7290

Fax

(325) 659-7291

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Texas Medical School at Houston, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shannon Home Health Services Home health agency, San Angelo, TX, CCN 457646
• Country Home Health Home health agency, San Angelo, TX, CCN 679469
• Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
• Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
• Paradigm Homecare Home health agency, San Angelo, TX, CCN 747233
• Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
• Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310
• Lillian M Hudspeth Memorial Hospital Hospital, Sonora, TX, CCN 451324

Merit-based Incentive Payment System (MIPS)

Final score

82.63 of 100Reported as group

Quality

78.21

Promoting interoperability

96

Improvement activities

40

Cost

67.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  Medicare reassignment Care Compare group NPD
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157

  Hospitalist

  Medicare reassignment NPD
• Timothy P. Bumann D.O. P.a.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Abilene, TX
  • NPI 1326254160
  Medicare reassignment NPD
• Shannon Clinic

  • Rural Health Clinic/Center
  • Sweetwater, TX
  • NPI 1093051401
  NPD
• Timberland Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cedar Park, TX
  • NPI 1023790045
  NPD
• E. Victor Hudman II MD PA

  • Clinic/Center
  • Abilene, TX
  • NPI 1952589400

  Hospitalist

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1St Texas Home Health of San Angelo, Inc.

  • Home Health Agency
  • San Angelo, TX
  • NPI 1942205125
  Care Compare affiliation
• Ballinger Memorial Hospital District

  • Land Ambulance
  • Ballinger, TX
  • NPI 1215991039

  Hospital

  Care Compare affiliation
• Ballinger Memorial Hospital District

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938
  Care Compare affiliation
• Eh of West Texas, LP

  • Home Health Agency
  • Abilene, TX
  • NPI 1942227459
  Care Compare affiliation
• Home Preferred Senior Care 9, LLC

  • Home Health Agency
  • San Angelo, TX
  • NPI 1285653493
  Care Compare affiliation
• Shannon Medical Center

  • Home Health Agency
  • San Angelo, TX
  • NPI 1225031446
  Care Compare affiliation
• Shannon Medical Center

  • General Acute Care Hospital
  • San Angelo, TX
  • NPI 1992707228
  Care Compare affiliation
• Sutton County Hospital District

  • Critical Access Hospital
  • Sonora, TX
  • NPI 1831140979
  Care Compare affiliation
• Sutton County Hospital District

  • Rural Health Clinic/Center
  • Sonora, TX
  • NPI 1922206606

  Hospital

  Care Compare affiliation
• West Texas Healthcare LLC

  • Home Health Agency
  • San Angelo, TX
  • NPI 1518139237
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1003951245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EAST EUREKA STREET",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866546",
            "telephone_number": "817-596-7000",
            "fax_number": "817-596-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 PULLIAM ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76905",
            "telephone_number": "325-659-7290",
            "fax_number": "325-659-7291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Eureka St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866546",
            "country_code": "US",
            "telephone_number": "817-596-7000",
            "fax_number": "817-596-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N0321",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "N0321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "N0321",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203778902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nexion Health at San Angelo Inc
• David Rudy Nguyen, PHARMD
• Hoai Uyen Ngoc Nguyen, PHARMD
• Liem Thanh Nguyen, M.D.
• Tham Nguyen
• Kendra Nicks, PT,SCD
• Emily Niehues, MSN, APRN, FNP-BC
• Rachel Nielsen, PHARM D
• Pauline A. Niemann-Tuerck, CRNA
• Brett Jason Nile, MD

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.