Individual provider Active NPI

Daniel D Coffey, MD

  • Family Medicine Physician
  • Lakeway, TX
National Provider Identifier
1760458293
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P6360 Issued in TX
Practice address
4 Lakeway Centre CT Ste a
Lakeway, TX 78734-2757
Phone
(512) 610-3110
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230349-1 NY
Family Medicine Physician 207Q00000X P6360 TX Primary

Addresses

Primary practice location

4 Lakeway Centre CT Ste a
Lakeway, TX 78734-2757

Mailing address

2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400

Other practice location 1

17 Oakwood Ter Ste 100
New Windsor, NY 12553-7754
Phone (845) 561-1270

Other identifiers 1

IdentifierTypeStateIssuer
02524472MedicaidNY

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
I20211216002996 TX Practitioner - Family Practice 7315936259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Allergy and Asthma PLLCGroup PAC ID 8426295908, 5 clinicians

Practice addresses (Care Compare)

4 Lakeway Centre CT
Suite a
Lakeway, TX 78734-2757
Phone (512) 610-3110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230349-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Allergy & Asthma, PLLC CurrentSince Sep 8, 2021 Accepting new patients
Mid Hudson Medical Care PC Family Medicine Past Accepting new patients
Capital Otolaryngology Head & Neck Surgeons, P.a. Past Accepting new patients

Locations

800 W Highway 290
Ste 200
Dripping Springs, TX 78620
Phone (512) 368-4548

4 Lakeway Centre Ct
Lakeway, TX 78734
Phone (512) 610-3110

4 Lakeway Centre Ct
Ste A
Lakeway, TX 78734
Phone (512) 610-3110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGIJBA

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1760458293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1400",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT STE A",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342757",
            "telephone_number": "512-610-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Oakwood Ter Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125537754",
            "country_code": "US",
            "telephone_number": "845-561-1270",
            "fax_number": "845-561-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230349-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P6360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02524472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.