Individual provider Active NPI

Konrad J Eppel, MD

  • Emergency Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1669449120
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P2232 Issued in TX
Practice address
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone
(541) 885-4643
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD26559 OR
Emergency Medicine Physician 207P00000X P2232 TX Primary

Addresses

Primary practice location

2865 Daggett Ave
Klamath Falls, OR 97601-1106

Mailing address

2581 Uhrmann Rd
Klamath Falls, OR 97601-1101
Phone (541) 885-4644

Other identifiers 1

IdentifierTypeStateIssuer
MD26559OtherOROREGON LICENSE

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
I20141120001707 TX Practitioner - Emergency Medicine 2668422619 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Emergency Medicine of Texas PLLCGroup PAC ID 9739449802, 112 clinicians

Practice addresses (Care Compare)

608 N Key Ave
Lampasas, TX 76550-1106
Phone (512) 564-2230

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26559ORMDEmergency Medicine Physician
P2232TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince May 3, 2019 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Dec 2, 2024 Accepting new patients
Brushy Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 11, 2021 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients
Southern Oregon Emergency Care LLC Emergency Medicine Past Accepting new patients
West Physician Services LLC Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

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.

Hospital & facility affiliations 1

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1669449120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 UHRMANN RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011101",
            "telephone_number": "541-885-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-885-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPEL",
        "first_name": "KONRAD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD26559",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P2232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON LICENSE",
            "identifier": "MD26559",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.