1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Otolaryngology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. COLIN WYATT FULLER M.D.
NPI 1922413343
Otolaryngology - Pediatric Otolaryngology in Fort Worth, TX

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-6850(682) 885-6799 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Nov 9, 2021, Aug 17, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Colin Wyatt Fuller M.d. NPPES

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

DR. COLIN WYATT FULLER M.D. (NPI 1922413343) is an individual pediatric otolaryngology provider in Fort Worth, Texas, licensed in Texas (W4468) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1922413343
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameDR. COLIN WYATT FULLERCredential: M.D.
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 303-7132
Phone(682) 885-6850
Fax(682) 885-6799
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2013
Enumeration DateJune 24, 2014
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1922413343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Licenses✔ Licensed in TX · W4468✔ Licensed in OK · 67805
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 6781 (GA)
1500 COOPER ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Colin Wyatt Fuller M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466878491
PECOS Enrollment IDI20210825001481
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Colin Fuller's NPI number?

The NPI number for Colin Fuller is 1922413343. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Colin Fuller located?

Colin Fuller practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-6850.

What is Colin Fuller's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Colin Fuller enrolled in Medicare?

Yes. Colin Fuller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colin Fuller accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Colin Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Colin Fuller affiliated with any hospitals?

According to CMS data, Colin Fuller is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Colin Fuller was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.