Colin Patrick Sulpizio, DO
Individual provider Active NPI Family Medicine Physician · Laughlin Afb, TX
NPI 1730717422 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1730717422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS021836 (PA)
- Practice address
- 590 Mitchell Blvd BLDG 375
Laughlin Afb, TX 78843-5242 - Phone
- (830) 298-6538
- NPI assigned
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Texas Hospitalist Associates LLC
Practice addresses (Care Compare)
1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone (830) 278-6251
801 N Bedell Ave
Val Verde Reg Med Ctr
Del Rio, TX 78840-4112
Phone (830) 744-4580
Hospital & facility affiliations
- Val Verde Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251229001498 | TX | Practitioner - Family Practice | 3678994100 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS021836 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Hospitalist Associates LLC | Current |
Accepting new patients | |
| Victoria Emergency Associates LLC | Past | Accepting new patients |
Locations
1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | ||
| Family Medicine Physician | 207Q00000X | OS021836 | PA | Yes |
Addresses
Primary practice location
590 Mitchell Blvd BLDG 375
Laughlin Afb, TX 78843-5242
Mailing address
590 Mitchell Blvd BLDG 375
Laughlin Afb, TX 78843-5242
Phone (215) 779-4529
Other practice location 1
2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 208-4558
Other practice location 2
145 N 6th St
Reading, PA 19601-3096
Phone (610) 378-2000
Other providers in Laughlin Afb, TX
- Cambria Pinckney
- Robert Theodore Pohler
- Felicia Ann Rinken
- Melinda Dawn Sams
- Karanvir Singh
- John Caleb Walker
All providers in Laughlin Afb, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.