Individual provider Active NPI

Michael W Toulan, M.D.

  • Urology Physician
  • Wichita Falls, TX
National Provider Identifier
1316920994
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K9439 Issued in TX
Practice address
5500 Kell Blvd
Suite 200
Wichita Falls, TX 76310-1612
Phone
(940) 689-8765
Fax
(940) 689-8769
NPI assigned
Nov 28, 2005
Last updated
Dec 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K9439 TX Primary

Addresses

Primary practice location

5500 Kell Blvd
Suite 200
Wichita Falls, TX 76310-1612

Mailing address

5500 Kell Blvd
Suite 200
Wichita Falls, TX 76310-1612
Phone (940) 689-8765

Other identifiers 2

IdentifierTypeStateIssuer
0243510001OtherTXMEDICARE DME, PALMETTO
84680YOtherTXBLUE CROSS & BLUE SHIELD

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
I20101230000812 TX Practitioner - Urology 0143290528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texoma Urology CenterGroup PAC ID 4981674355, 5 clinicians

Practice addresses (Care Compare)

5500 Kell W Blvd
Suite 200
Wichita Falls, TX 76310-1612
Phone (940) 689-8765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Urology Center Urology CurrentSince Jan 1, 2000 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1301 Montgomery Rd
Graham, TX 76450
Phone (940) 521-5360

5500 Kell Blvd
Ste 200
Wichita Falls, TX 76310
Phone (940) 500-6101

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: michaeltoulan@texomaurocent.medalliesdirect.net
  • Direct secure messaging: mtoulan14874@unitedregional.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1316920994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 KELL BLVD",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-689-8765",
            "fax_number": "940-689-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KELL BLVD",
            "address_2": "SUITE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-689-8765",
            "fax_number": "940-689-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOULAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K9439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME, PALMETTO",
            "identifier": "0243510001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "84680Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.