Active NPI
Carol Lynn Coglianese, M.D.
- Specialist
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K7264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073KH | Other | TX | BLUE CROSS |
| 10735022 | Other | TX | CAQH |
| 3257331 | Other | TX | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040825001302 | TX | Practitioner - Internal Medicine | 3971577784 | Practice locations: Conroe, TX; Hunstville, TX; Shenandoah, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.