Individual provider Active NPI

Carol Lynn Coglianese, M.D.

  • Specialist
  • Conroe, TX
National Provider Identifier
1285675033
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K7264 Issued in TX
Practice address
100 Medical Center Blvd
Suite 212
Conroe, TX 77304-2888
Phone
(936) 756-1322
Fax
(936) 756-1302
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K7264 TX Primary

Addresses

Primary practice location

100 Medical Center Blvd
Suite 212
Conroe, TX 77304-2888

Mailing address

100 Medical Center Blvd
Suite 212
Conroe, TX 77304-2888
Phone (936) 756-1322

Other identifiers 3

IdentifierTypeStateIssuer
0073KHOtherTXBLUE CROSS
10735022OtherTXCAQH
3257331OtherTXAETNA

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
I20040825001302 TX Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Infectious Disease 3971577784 Practice locations: Conroe, TX; Hunstville, TX; Shenandoah, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 Grand Lake Dr
Conroe, TX 77304-2891
Phone (936) 523-1800

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-1111

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285675033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "SUITE 212",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-756-1322",
            "fax_number": "936-756-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "address_2": "SUITE 212",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-756-1322",
            "fax_number": "936-756-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGLIANESE",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K7264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0073KH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10735022",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3257331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.