Active NPI
Kurt Charles Lange, M.D.
- Gastroenterology Physician
- Dallas, TX
National Provider Identifier
1689634743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- H1386
- Practice address
- 9330 Poppy Dr
Suite 501
Dallas, TX 75218-4621 - Phone
- (214) 327-2727
- Fax
- (214) 327-1394
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | H1386 | TX | Primary |
Addresses
Primary practice location
9330 Poppy Dr
Suite 501
Dallas, TX 75218-4621
Mailing address
7610 Stemmons Fwy
Suite 500
Dallas, TX 75247-4231
Phone (214) 689-5960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115280303 | Medicaid | TX | |
| 83Y772 | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1386 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Alamos Physician Practices LLC | Current | Accepting new patients | |
| Los Alamos Physician Practices, LLC | Current | Accepting new patients |
Locations
3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030
3917 West Rd
Ste 250
Los Alamos, NM 87544
Phone (505) 661-4147
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- cha6739@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Los Alamos, NM
- NPI 1750330510
-
- Surgery Physician
- Los Alamos, NM
- NPI 1801075783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1689634743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 STEMMONS FWY",
"address_2": "SUITE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474231",
"telephone_number": "214-689-5960",
"fax_number": "214-630-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 POPPY DR",
"address_2": "SUITE 501",
"city": "DALLAS",
"state": "TX",
"postal_code": "752184621",
"telephone_number": "214-327-2727",
"fax_number": "214-327-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "KURT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "H1386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115280303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "83Y772",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.