Michael David Carletti, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R5096 Issued in TX

Practice address

855 Montgomery St
Fort Worth, TX 76107-2553

Phone

(817) 735-0278

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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

Specialty

Dermatology

Education

University of North Texas HSC, College of Osteopathic Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of North Texas Health Science Center at Fort WorthGroup PAC ID 6103717350, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.23 of 100Reported as apm

Quality

76.45

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.carletti.p1@direct.unthsc.nextgenshare.com

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.

• University of North Texas Health Science Center at Fort Worth

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fort Worth, TX
  • NPI 1376645564
  Medicare reassignment Care Compare group NPD
• University of North Texas Health Science Center at Fort Worth

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1053416289
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1639843790
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1659473056
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1699870998
  NPD
• University of North Texas Health Science Center at Fort Worth

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1033181078

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1013126390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLETTI",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10026779",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "BP10026779",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R5096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Touch of Love
• Caring Hands Transportation LLC
• Caring Talent Fort Worth, LLC
• Zachary Carithers
• Carla Tabbs MD PA
• Brian Keith Carlile, DO
• Kenneth Carlisle
• Carlos G. Tello DDS Ms PA
• Alexandra Louise Carlson
• Carla Michelle Carlson, LVN

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.

Verify at the official NPI Registry.