Individual provider Active NPI

Nicholas James Peiffer, MD

  • Otolaryngology Physician
  • Frisco, TX
National Provider Identifier
1083817688
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M8915 Issued in TX
Practice address
4401 Coit Rd
Suite 411
Frisco, TX 75035-0500
Phone
(972) 731-7654
NPI assigned
Jun 9, 2007
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X M8915 TX Primary

Addresses

Primary practice location

4401 Coit Rd
Suite 411
Frisco, TX 75035-0500

Mailing address

10740 N Gessner Rd Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416

Other identifiers 2

IdentifierTypeStateIssuer
BP2-0026683OtherINSTITUTIONAL PERMIT
8M7403OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090521000245 TX Practitioner - Otolaryngology 5193874154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians
Ear, Nose and Throat Associates of Frisco, P.a.Group PAC ID 6800867953, 8 clinicians

Practice addresses (Care Compare)

4401 Coit Rd
Suite 411
Frisco, TX 75035-0520
Phone (972) 731-7654

4401 Coit Rd
Suite 411
Frisco, TX 75035-8299

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8915TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Associates of Frisco, P.a. Otolaryngology CurrentSince Aug 1, 2010 Accepting new patients
Texas Ear, Nose & Throat Specialists, PLLC Otolaryngology CurrentSince Mar 9, 2023 Accepting new patients
Bachman Lake Emergency Physicians PLLC Past Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

4401 Coit Rd
Ste 411
Frisco, TX 75035
Phone (972) 731-7654

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

6717 Eldorado Pkwy
Ste 140
McKinney, TX 75070
Phone (972) 529-4333

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

Interoperability endpoints

  • Direct secure messaging: nicholaspeiffer@entatpa.allscriptsdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1083817688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER RD STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416",
            "fax_number": "800-876-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COIT RD",
            "address_2": "SUITE 411",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350500",
            "telephone_number": "972-731-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFFER",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M8915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP2-0026683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8M7403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.