Individual provider Active NPI

Michael P Collini, MD

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1801882329
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
J5557 Issued in TX
Practice address
7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908
Phone
(866) 367-8768
Fax
(817) 541-9501
NPI assigned
Sep 20, 2005
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X J5557 TX Primary

Addresses

Primary practice location

7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908

Mailing address

5001 S Cooper St Ste 201
Arlington, TX 76017-5993
Phone (866) 367-8768

Other practice location 1

5801 Oakbend Trl Ste 180
Fort Worth, TX 76132-3915
Phone (866) 367-8768

Other practice location 2

5801 Oakbend Trl Ste 150
Fort Worth, TX 76132-3915
Phone (866) 367-8768

Other identifiers 5

IdentifierTypeStateIssuer
113290402MedicaidTX
113290406MedicaidTX
113290405OtherTXMEDICAID OTHER
113290403MedicaidTX
113290404MedicaidTX

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
I20080603000049 TX Practitioner - Urology 8123198181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
91.85
Promoting interoperability
77
Improvement activities
40
Cost
74.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upnt Pharmacy LLC Current Accepting new patients
Urology Partners of North Texas, PLLC Urology CurrentSince Dec 1, 2018 Accepting new patients
Urology Partners of North Texas, PLLC Urology CurrentSince Dec 16, 2020 Accepting new patients
Southwest Urology Associates Urology Past Accepting new patients
Urology Associates of North Texas LLP Urology Past Accepting new patients
Texas Oncology PA PastSince Sep 1, 2012 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

5001 S Cooper St
Ste 201
Arlington, TX 76017

801 W Interstate 20
Ste 1
Arlington, TX 76017
Phone (817) 417-1100

6801 Oakmont Blvd
Ste 102
Fort Worth, TX 76132
Phone (866) 376-8768

5801 Oakbend Trl
Ste 150
Ft Worth, TX 76132

5801 Oakbend Trl
Ste 180
Ft Worth, TX 76132
Phone (817) 370-9010

7100 Oakmont Blvd
Ste 101
Ft Worth, TX 76132
Phone (817) 205-3075

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1701 Fountainview Dr
Ste 120
Mansfield, TX 76063

945 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 550-6332

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
  • Direct secure messaging: mcollini@direct.uspi.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Usmd Hospital at Arlington, LLCArlington, TX, CCN 450872 Hospital Corporate Director Dec 31, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1801882329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S COOPER ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175993",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Oakbend Trl Ste 180",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323915",
            "country_code": "US",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Oakbend Trl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323915",
            "country_code": "US",
            "telephone_number": "866-367-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINI",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "J5557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113290402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113290406",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "113290405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113290403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113290404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.