Individual provider Active NPI

Michael Wiebel, M.D.

  • Otolaryngology Physician
  • Rockwall, TX
National Provider Identifier
1760708523
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
Q3310 Issued in TX
Practice address
3000 Horizon Rd
Rockwall, TX 75032-5817
Phone
(903) 454-6481
Fax
(903) 454-6486
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Q3310 TX Primary

Addresses

Primary practice location

3000 Horizon Rd
Rockwall, TX 75032-5817

Mailing address

4000 Medical Parkway
Greenville, TX 75401-7854
Phone (903) 454-6481

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
I20150806009818 TX Practitioner - Otolaryngology 2466766365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Ears Nose and Throat of Greenville PAGroup PAC ID 7810094091, 4 clinicians

Practice addresses (Care Compare)

3000 Horizon Rd
Rockwall, TX 75032-5817
Phone (972) 772-4200

4000 Medical Pkwy
Greenville, TX 75401-7854
Phone (903) 454-6481

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3310TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Ears Nose & Throat of Greenville PA Otolaryngology CurrentSince Aug 1, 2015 Accepting new patients

Locations

4000 Medical Pkwy
Greenville, TX 75401
Phone (903) 454-6481

3000 Horizon Rd
Rockwall, TX 75032
Phone (903) 454-6481

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1760708523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL PARKWAY",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017854",
            "telephone_number": "903-454-6481",
            "fax_number": "903-454-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325817",
            "telephone_number": "903-454-6481",
            "fax_number": "903-454-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBEL",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.