Organization Active NPI

Collin County Pulmonary Associates

  • Pulmonary Disease Physician
  • Allen, TX
National Provider Identifier
1205048956
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
207RP1001X Issued in TX
Legal business name
COLLIN COUNTY PULMONARY ASSOCIATES
Doing business as
COLLIN COUNTY PULMONARY ASSOCIATES
Practice address
1101 Raintree Cir Ste 100
Allen, TX 75013-4999
Phone
(972) 964-0170
Fax
(972) 596-8928
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Timothy R Chappell, MDNPI 1285696914
Title
President
Phone
(972) 964-0170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 207RP1001X TX Primary

Addresses

Primary practice location

1101 Raintree Cir Ste 100
Allen, TX 75013-4999

Mailing address

1101 Raintree Cir Ste 100
Allen, TX 75013-4999
Phone (972) 964-0170

Other identifiers 2

IdentifierTypeStateIssuer
00N82XOtherTXBCBS
084320301MedicaidTX

Other names 1

  • COLLIN COUNTY PULMONARY ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923000824 TX Part B Supplier - Clinic/Group Practice 2466578737 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

1101 Raintree Cir
Ste 100
Allen, TX 75013
Phone (214) 509-0029

1630 Coit Rd
Ste 104
Plano, TX 75075
Phone (972) 964-0170

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21001/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1205048956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RAINTREE CIR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134999",
            "telephone_number": "972-964-0170",
            "fax_number": "972-596-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RAINTREE CIR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134999",
            "telephone_number": "972-964-0170",
            "fax_number": "972-596-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN COUNTY PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-964-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "207RP1001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00N82X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084320301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLIN COUNTY PULMONARY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COLLIN COUNTY PULMONARY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.