Active NPI
Darryl Dewitt Collins, M.D.
- Family Medicine Physician
- Portland, TX
National Provider Identifier
1720107493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H7971
- Practice address
- 213 Cedar Dr Ste a
Portland, TX 78374-2913 - Phone
- (361) 777-2886
- Fax
- (361) 777-3667
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H7971 | TX | Primary |
Addresses
Primary practice location
213 Cedar Dr Ste a
Portland, TX 78374-2913
Mailing address
213 Cedar Dr Ste a
Portland, TX 78374-2913
Phone (361) 777-2886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150017501 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
213 Cedar Dr
Suite a
Portland, TX 78374-2913
Phone (361) 777-2886
Hospital & facility affiliations
- Assist Home Health
- Siloe Home Health & Infusion, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7971 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darryl Dewitt Collins, M.D.,P.a. | Family Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
213 Cedar Dr
Ste A
Portland, TX 78374
Phone (361) 777-2886
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
- Portland, TX
- NPI 1104074137
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Corpus Christi, TX
- NPI 1073779534
-
- Home Health Agency
- Rockport, TX
- NPI 1073560694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1720107493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 CEDAR DR STE A",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742913",
"telephone_number": "361-777-2886",
"fax_number": "361-777-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 CEDAR DR STE A",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742913",
"telephone_number": "361-777-2886",
"fax_number": "361-777-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DARRYL",
"middle_name": "DEWITT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H7971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150017501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.