Individual provider Active NPI

Weldon Edward Collins, M.D.

  • Dermatology Physician
  • Beaumont, TX
National Provider Identifier
1316063423
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F9316 Issued in TX
Practice address
3070 College St
Suite 208
Beaumont, TX 77701-4688
Phone
(409) 835-1333
Fax
(409) 835-2926
NPI assigned
Mar 21, 2007
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X F9316 TX Primary

Addresses

Primary practice location

3070 College St
Suite 208
Beaumont, TX 77701-4688

Mailing address

3070 College St
Suite 208
Beaumont, TX 77701-4688
Phone (409) 835-1333

Other identifiers 1

IdentifierTypeStateIssuer
114648201MedicaidTX

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
I20080514000911 TX Practitioner - Dermatology 7416026588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Edward Collins MD PAGroup PAC ID 3577620897, 2 clinicians

Practice addresses (Care Compare)

3070 College St
Suite 208
Beaumont, TX 77701-4688
Phone (409) 835-1333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1836
Removal or shaving of skin growth501
Skin biopsy39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
W Edward Collins MD PA Dermatology CurrentSince Mar 31, 2009 Accepting new patients
Weldon E Collins MD Past Accepting new patients

Locations

2929 Calder St
Ste 312
Beaumont, TX 77702
Phone (409) 835-1333

3070 College St
Ste 208
Beaumont, TX 77701
Phone (409) 835-1333

4110 Bellaire Blvd
Ste 202
Houston, TX 77025
Phone (817) 223-9785

Interoperability endpoints

  • Direct secure messaging: weldon@collinsnunez.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1316063423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 208",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 208",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-835-1333",
            "fax_number": "409-835-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "WELDON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F9316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114648201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.