Individual provider Active NPI

Daniel M Altstatt, MD

  • Urology Physician
  • Brownwood, TX
National Provider Identifier
1982634424
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M3855 Issued in TX
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

Updated by the provider on Sep 17, 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 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

IdentifierTypeStateIssuer
182776801MedicaidTX
8W1760OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 234 clinicians

Practice addresses (Care Compare)

100 Miller Dr
Brownwood, TX 76801-5947
Phone (325) 643-2000

Hospital & facility affiliations

  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411
  • Coleman County Medical Center Company Hospital, Coleman, TX, CCN 451347

Merit-based Incentive Payment System (MIPS)

Final score
82.29 of 100Reported as individual
Quality
62.44
Promoting interoperability
100
Improvement activities
40
Cost
78.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Jun 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.