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COLEMAN ALEXANDER ODLOZIL MD
NPI 1114629805
Student in an Organized Health Care Education/Training Program in Plano, TX

Active since March 20, 2023PECOS Enrolled
3901 W 15TH ST STE 200, PLANO, TX 75075(972) 596-6800 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coleman Alexander Odlozil Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLEMAN ALEXANDER ODLOZIL MD (NPI 1114629805) is an individual student in an organized health care education/training program in Plano, Texas and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114629805
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLEMAN ALEXANDER ODLOZILCredential: MD
Location Address3901 W 15TH ST STE 200Plano, TX 75075-7738
Mailing Address3901 W 15th St Ste 200Plano, TX 75075-7738
Phone(972) 596-6800
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 18, 2023
✔ NPI 1114629805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 W 15TH ST STE 200, Plano, TX 75075
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coleman Alexander Odlozil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN MOORE DO
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
RALEIGH DOUGLAS PAYTON
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 596-6800
DR. COREY WAYNE NEWMAN DO
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
PHONG DUONG DO
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
MASON GRAHAM WORKMAN
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959
DR. SAMUEL BAYLISS MD
Student in an Organized Health Care Education/Training Program
3901 W 15TH ST STE 200
PLANO, TX 75075
Collin County (682) 220-6959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coleman Odlozil's NPI number?

The NPI number for Coleman Odlozil is 1114629805. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Coleman Odlozil located?

Coleman Odlozil practices at 3901 W 15th St Ste 200, Plano, TX 75075. The listed phone number is (972) 596-6800.

What is Coleman Odlozil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Coleman Odlozil enrolled in Medicare?

Yes. Coleman Odlozil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coleman Odlozil was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.