Individual provider Active NPI

Colleen Margaret Stoeppel, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1477783405
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9308 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390
Phone
(214) 648-8876
Fax
(214) 648-2213
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X N9308 TX
Emergency Medicine Physician 207P00000X N9308 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390

Mailing address

4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001
Phone (469) 420-5544

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
I20120111000885 TX Practitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - Critical Care (Intensivists) 3577730738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Ies Carrollton PLLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2014 Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients
Fastpass Ucc, PLLC PastSince Jul 23, 2017 Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1477783405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446001",
            "telephone_number": "469-420-5544",
            "fax_number": "866-284-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "214-648-8876",
            "fax_number": "214-648-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEPPEL",
        "first_name": "COLLEEN",
        "middle_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "N9308",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.