Individual provider Active NPI

Paul R Coffeen, MD

  • Clinical Cardiac Electrophysiology Physician
  • Austin, TX
National Provider Identifier
1699775627
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
K3698 Issued in TX
Practice address
3801 N Lamar Blvd
Ste. 300
Austin, TX 78756-4080
Phone
(512) 206-3600
Fax
(512) 454-2581
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K3698 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X K3698 TX Primary

Addresses

Primary practice location

3801 N Lamar Blvd
Ste. 300
Austin, TX 78756-4080

Mailing address

7800 Shoal Creek Blvd Ste 205N
Austin Heart PLLC
Austin, TX 78757-1016
Phone (512) 206-4341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcoffeen4158@epiccwdv.hcadirect.net

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
I20040914000289 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0547237166

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3000 N Ih
35 Suite 700
Austin, TX 78705-1852

3801 N Lamar Blvd
Suite 300
Austin, TX 78756-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3698TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Aug 19, 2002 Accepting new patients
Cardiology Consultants of Texas Cardiovascular Disease Past Accepting new patients

Locations

3000 Ih 35 N
Ste 700
Austin, TX 78681
Phone (512) 807-3157

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

900 W 38th St
Ste 110
Austin, TX 78705
Phone (512) 421-3869

3000 N Interstate 35
Ste 700
Austin, TX 78705
Phone (512) 544-2342

7800 Shoal Creek Blvd
Ste 205N
Austin, TX 78757
Phone (512) 206-4300

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

1330 Wonder World Dr
San Marcos, TX 78666
Phone (512) 341-6414

1330 Wonder World Dr
Ste 108B
San Marcos, TX 78666
Phone (512) 753-3566

Interoperability endpoints

  • Direct secure messaging: pcoffeen262083@ahs.direct-ci.com
  • Direct secure messaging: 2561-coffeen-paul@direct.leadingreach.com
  • Direct secure messaging: 2559-coffeen-paul@direct.leadingreach.com
  • Direct secure messaging: 4137-coffeen-paul@direct.leadingreach.com

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.

Hospital & facility affiliations 3

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1699775627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 205N",
            "address_2": "AUSTIN HEART PLLC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571016",
            "telephone_number": "512-206-4341",
            "fax_number": "512-407-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD",
            "address_2": "STE. 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-206-3600",
            "fax_number": "512-454-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEEN",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K3698",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "K3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcoffeen4158@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "3801 N LaMar Blvd",
            "address_2": "STE. 300",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787564080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.