IRVING COPPELL EAR, NOSE & THROAT – Otolaryngology Physician, NPI 1144412990

IRVING COPPELL EAR, NOSE & THROAT is a healthcare provider. based in Irving, Texas. specializing in Otolaryngology Physician. The organization holds a License No. G3844 (TX). The NPI Number for IRVING COPPELL EAR, NOSE & THROAT is 1144412990

Main info

Organization
Name
IRVING COPPELL EAR, NOSE & THROAT
NPI
1144412990
Phone
(972) 402-8404
Address
400 W IH 635 FWY
Authorized Official
SHELLAINE L CONANT BUSINESS MANAGER
Enumeration Date
15 August 2007
Last Update Date
11 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for IRVING COPPELL EAR, NOSE & THROAT

  • 400 W IH 635 FWY

    SUITE 360

    IRVING, TX 750633707

    Phone: (972) 402-8404

    Fax: (972) 402-9301

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (114 days away).

Enrollment records

1

Earliest due date

2026-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060406000680OClinic/Group PracticeTX2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75063)

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Reviews

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Frequently asked questions

Does IRVING COPPELL EAR, NOSE & THROAT share an NPI with anyone else?
NPI numbers are unique to each provider or organization — IRVING COPPELL EAR, NOSE & THROAT uses 1144412990.
Is IRVING COPPELL EAR, NOSE & THROAT still practicing?
IRVING COPPELL EAR, NOSE & THROAT is currently listed as active in the public NPI registry.
What is IRVING COPPELL EAR, NOSE & THROAT's primary classification?
Otolaryngology Physician is the headline specialty for IRVING COPPELL EAR, NOSE & THROAT here. Clinical services aligned with this taxonomy classification.
What address line appears for IRVING COPPELL EAR, NOSE & THROAT?
IRVING COPPELL EAR, NOSE & THROAT's geographic hint is Irving, Texas in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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