Individual provider Active NPI

Timothy Rae Chappell, M.D.

  • Pulmonary Disease Physician
  • Allen, TX
National Provider Identifier
1285696914
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E7029 Issued in TX
Practice address
1101 Raintree Cir Ste 100
Allen, TX 75013-4999
Phone
(972) 964-0170
Fax
(972) 596-8928
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E7029 TX Primary

Addresses

Primary practice location

1101 Raintree Cir Ste 100
Allen, TX 75013-4999

Mailing address

6100 Windcom CT
#102
Plano, TX 75093-7886
Phone (972) 964-0170

Other identifiers 1

IdentifierTypeStateIssuer
122878503MedicaidTX

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
I20040429000404 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3476441122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Nebraska College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6100 Windcom CT
Suite 102
Plano, TX 75093-7888
Phone (972) 964-0170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as individual
Quality
91.68
Promoting interoperability
99
Improvement activities
40
Cost
72.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collin County Pulmonary Associates Pulmonary Disease CurrentSince Jan 1, 1978 Accepting new patients

Locations

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

6100 Windcom Ct
Ste 102
Plano, TX 75093
Phone (972) 964-0170

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21001/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.chappell.1@21001.direct.athenahealth.com

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 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1285696914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDCOM CT",
            "address_2": "#102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937886",
            "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": {
        "last_name": "CHAPPELL",
        "first_name": "TIMOTHY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-09-28",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "E7029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122878503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.