Active NPI
Frank W Theilen, MD
- Otolaryngology Physician
- Irving, TX
National Provider Identifier
1295739266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G3844
- Practice address
- 400 W Ih 635 Fwy
Ste 360
Irving, TX 75063-3764 - Phone
- (972) 402-8404
- Fax
- (972) 402-9401
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G3844 | TX | Primary |
Addresses
Primary practice location
400 W Ih 635 Fwy
Ste 360
Irving, TX 75063-3764
Mailing address
400 W Ih 635 Fwy
Ste 360
Irving, TX 75063-3707
Phone (972) 402-8404
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Texas Medical Branch at Galveston, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400W Ih 635 Fwy
Suite 360
Irving, TX 75063-3764
Phone (972) 402-8404
Hospital & facility affiliations
- Baylor Scott & White Medical Center at Irving
- Baylor Surgical Hospital at Las Colinas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G3844 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irving Coppell Ear, Nose & Throat | Otolaryngology | Current | Accepting new patients |
Locations
400 W Interstate 635
Ste 360
Irving, TX 75063
Phone (972) 402-8404
Interoperability endpoints
- ftheilen@direct.uspi.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.
-
- Otolaryngology Physician
- Irving, TX
- NPI 1144412990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- Special Hospital
- Irving, TX
- NPI 1992772008
-
- General Acute Care Hospital
- Irving, TX
- NPI 1669569984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1295739266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W IH 635 FWY",
"address_2": "STE 360",
"city": "IRVING",
"state": "TX",
"postal_code": "750633707",
"telephone_number": "972-402-8404",
"fax_number": "972-402-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W IH 635 FWY",
"address_2": "STE 360",
"city": "IRVING",
"state": "TX",
"postal_code": "750633764",
"telephone_number": "972-402-8404",
"fax_number": "972-402-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEILEN",
"first_name": "FRANK",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "G3844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- The Next Step Therapy Services and Wellness, L.L.C
- The Orthopedic Center of Las Colinas, PA
- The Pursuit of Wellness
- The Ranch Sports Medicine and Rehabilitation Center
- The Speech and Language Development Center
- Kathy Theiss, MA, BCBA
- Them Bones Chiropractic
- Theocentric Guild & Outrach
- Theracare Las Colinas
- Therapists Unlimited
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.