Individual provider Active NPI

Christopher Michael Couch, M.D.

  • Surgical Critical Care Physician
  • Tyler, TX
National Provider Identifier
1831488352
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
P4746 Issued in TX
Practice address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone
(903) 590-5612
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P4746 TX
Surgical Critical Care Physician 2086S0102X P4746 TX Primary

Addresses

Primary practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Mailing address

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5612

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
I20140404000579 TX Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 9931331006 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Critical Care (Intensivists)
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611

Hospital & facility affiliations

  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
North Texas Critical Care PA CurrentSince Aug 15, 2016 Accepting new patients
Etmc Physician Group Inc. CurrentSince Aug 1, 2024 Accepting new patients
Dallas Pulmonary & Critical Care PA CurrentSince Aug 11, 2021 Accepting new patients
Etmc Physician Group Inc. CurrentSince Aug 1, 2024 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Dec 30, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients
Fastpass Ucc, PLLC PastSince Jul 16, 2017 Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

2000 S Palestine St
Ste 100
Athens, TX 75751

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

701 Olympic Plaza Cir
Tyler, TX 75701
Phone (903) 596-3236

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: ccouch430170@direct.texashealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1831488352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-590-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-590-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P4746",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "P4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.