Tarrell Lee Coley, MD
Individual provider Active NPI Emergency Medicine Physician · Webster, TX
NPI 1780180273 · NPPES record last updated Sep 22, 2022
Key facts
- NPI
- 1780180273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- T0069 (TX)
- Practice address
- 500 W Medical Center Blvd
Webster, TX 77598-4220 - Phone
- (281) 338-3357
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrative Emergency Services Physician Group-Houston PLLC
Practice addresses (Care Compare)
20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000
Hospital & facility affiliations
- St Luke'S Hospital at the Vintage
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 |
|---|---|---|---|---|
| I20210624000083 | TX | Practitioner - Emergency Medicine | 0042558025 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0069 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis County Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current |
Accepting new patients |
| Jasper Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Jefferson Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
20171 Chasewood Park Dr
#H
Houston, TX 77070
Phone (832) 534-5000
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
6901 Medical Center Dr
Orange, TX 77630
Phone (281) 417-5003
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Interoperability endpoints
- tcoley574373@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | T0069 | TX | Yes |
Addresses
Primary practice location
500 W Medical Center Blvd
Webster, TX 77598-4220
Mailing address
500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 338-3357
Other providers in Webster, TX
- Coastal Plastic Surger
- Coba Toxicology LLC
- Coba Toxicology LLC
- Sarah G. Cole
- Christopher L. Coleman
- Lee Anne Collins
- Meredith D Collins
- Compass Anesthesia Providers PLLC
- Compass Point Emergency Physicians, PLLC
- Complete Care OBGYN and Family Medicine PLLC
All providers in Webster, TX · Emergency 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 Sep 22, 2022. 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.