Active NPI
Mark W Coburn, MD
- Diagnostic Radiology Physician
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- N4357
- Practice address
- 300 University Blvd
Round Rock, TX 78665-1032 - Phone
- (512) 509-0100
- Fax
- (512) 218-6330
- NPI assigned
- Feb 2, 2007
- Last updated
- Dec 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD61603753 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | N4357 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 108365 | MO |
Addresses
Primary practice location
300 University Blvd
Round Rock, TX 78665-1032
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other practice location 1
203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcoburn275972@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, CA, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Austin, TX 78734
Phone (425) 563-1500
Park City, UT 84098
Phone (918) 392-1702
113 Agua Canyon CT
Belton, TX 76513-8551
Phone (615) 356-3999
13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960
14742 Hornsby Hill Rd
Austin, TX 78734-1802
Phone (615) 312-0600
1719 Barn Swallow Dr
Austin, TX 78746-7432
Phone (425) 563-1500
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000
2936 E Ashwood LN
Saint George, UT 84790-2690
Phone (425) 563-1500
3859 Packsaddle Cir
Park City, UT 84098-5317
Phone (615) 312-0600
406 S 30TH Ave
Yakima, WA 98902-3713
414 E 4235
Washington, UT 84780-1767
Phone (425) 563-1500
515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699
5904 Laird Dr
Austin, TX 78757-3231
Phone (615) 356-3999
6 Kings Lake Estates Blvd
Humble, TX 77346-4035
Phone (425) 563-1500
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108365 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Austin Radiological Association | Current | Accepting new patients | |
| Clarksville Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Ara/St. David's Imaging, LP | Current | Accepting new patients | |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Medford Radiological Group, PC | Diagnostic Radiology | Current | Accepting new patients |
| Ara/St. David's Imaging, LP | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Ara/St. David's Imaging, LP | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Ara/St. David's Imaging, LP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Radia California Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan County Public Hospital Dist No 4 | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Central Washington Health Services Association | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Past | Accepting new patients | |
| Okanogan County Public Hospital Dist No 4 | Past | Accepting new patients | |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- mcoburn275972@direct.sw.org
Organizations & group practices 36
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
TX, UT
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Evergreen Radia
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
TX, UT
-
dba Mid-Valley Hospital
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
dba Radia California
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1740982032
TX, UT
-
dba Radia Oregon
- Diagnostic Radiology Physician
- Medford, OR
- NPI 1073385423
TX, UT
-
dba Swedish Imaging Clinics
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1811035694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651032",
"telephone_number": "512-509-0100",
"fax_number": "512-218-6330"
}
],
"practiceLocations": [
{
"address_1": "203 S Western Ave",
"address_purpose": "LOCATION",
"city": "Tonasket",
"state": "WA",
"postal_code": "988558803",
"country_code": "US",
"telephone_number": "509-486-2151",
"fax_number": "509-223-1640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBURN",
"first_name": "MARK",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61603753",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N4357",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "108365",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcoburn275972@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "300 University Blvd",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786651032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.