Active NPI
Daniel M Altstatt, MD
- Urology Physician
- Brownwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- M3855
- Practice address
- 100 Miller Dr
Brownwood, TX 76801-5947 - Phone
- (325) 643-2000
- NPI assigned
- Jul 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | M3855 | TX | Primary |
Addresses
Primary practice location
100 Miller Dr
Brownwood, TX 76801-5947
Mailing address
100 Miller Dr
Brownwood, TX 76801-5947
Phone (325) 643-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182776801 | Medicaid | TX | |
| 8W1760 | Other | TX | BLUE CROSS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060912000185 | TX | Practitioner - Urology | 7517961287 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Eastern Virginia Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hendrick Provider Network
Practice addresses (Care Compare)
100 Miller Dr
Brownwood, TX 76801-5947
Phone (325) 643-2000
Hospital & facility affiliations
- Hendrick Medical Center Brownwood
- Comanche County Medical Center
- Eastland Memorial Hospital
- Eastland Memorial Hospital
- Coleman County Medical Center Company
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.29 of 100
- Quality
- 62.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Past | Accepting new patients | |
| Hendrick Medical Center Brownwood | Past | Accepting new patients |
Locations
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400
100 Miller Dr
Brownwood, TX 76801
Phone (325) 643-2000
100 Miller Dr
Ste A
Brownwood, TX 76801
Phone (325) 643-6620
Interoperability endpoints
- daltstat@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- General Acute Care Hospital
- Brownwood, TX
- NPI 1184233785
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Comanche, TX
- NPI 1346544616
Hospital
-
- Critical Access Hospital
- Coleman, TX
- NPI 1407121189
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1982634424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MILLER DR",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015947",
"telephone_number": "325-643-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MILLER DR",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768015947",
"telephone_number": "325-643-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTSTATT",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "M3855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182776801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8W1760",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.