Sean Benjamin Neller, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

S2855 Issued in TX

Practice address

620 N O'Connor Rd
Irving, TX 75061-7530

Phone

(972) 259-3541

Fax

(972) 225-4101

NPI assigned

Apr 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sean.neller@wellmed.eclinicaldirectplus.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Medical Clinic of North Texas, PLLC

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033167234
  Medicare reassignment Care Compare group NPD
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Bruce E. Wardle', D.O, P.a.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1386765162
  NPD
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD
• Medical Clinic of North Texas, PLLC

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1538117742
  NPD
• Wellmed Medical Group, P.a.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1437457710

  Internal Medicine

  NPD
• Wellmed Medical Group, P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243

  Internal Medicine

  NPD
• Myrna Bucaling Carag West MD

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1043568793
  NPD (past)
• O'Connor Medical Center, P.a.

  • Family Medicine Physician
  • Irving, TX
  • NPI 1174644496
  NPD (past)

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

• Baylor Medical Center at Irving

  • Psychiatric Hospital Unit
  • Irving, TX
  • NPI 1114268471
  Care Compare affiliation
• Baylor Medical Center at Irving

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1992700983
  Care Compare affiliation

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1255866844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N O'CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617530",
            "telephone_number": "972-259-3541",
            "fax_number": "972-225-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N O'CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617530",
            "telephone_number": "972-259-3541",
            "fax_number": "972-225-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLER",
        "first_name": "SEAN",
        "middle_name": "BENJAMIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S2855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine N Ndungu, NP
• Brian Conway Neal, CRNA
• Willie J Neal
• Carrie Ann Neale, LMT
• Ramon Negrete, D.C.
• Mercedes Antionette Nelson
• Michelle Lynn Nelson, PT, NCS, GCS
• Nadja Jovon Nelson, PMHNP-BC
• Nephron MD PA
• Net Time Inc

• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.