Individual provider Active NPI

Carlos Andres Garcia, MD

  • MOHS-Micrographic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1013985217
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
21472 Issued in OK
Practice address
4805 S Western Ave
Oklahoma City, OK 73109-3835
Phone
(405) 636-1506
Fax
(405) 636-1511
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 21472 OK
Pediatric Dermatology Physician 207NP0225X 21472 OK
Procedural Dermatology Physician 207NS0135X 21472 OK
MOHS-Micrographic Surgery Physician 207ND0101X 21472 OK Primary

Addresses

Primary practice location

4805 S Western Ave
Oklahoma City, OK 73109-3835

Mailing address

4805 S Western Ave
Oklahoma City, OK 73109-3835
Phone (405) 636-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060110000787 OK Practitioner - Dermatology 1052334687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cagr Medical PLLCGroup PAC ID 1759609407, 5 clinicians

Practice addresses (Care Compare)

8315 S Walker Ave
Oklahoma City, OK 73139-9449
Phone (405) 636-1506

Hospital & facility affiliations

  • Abiding Home Health of Oklahoma City Home health agency, Oklahoma City, OK, CCN 377675
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
73.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of skin lesions470
Removal of skin cancer209
Removal of nail tissue1-10
Removal or shaving of skin growth52
Skin biopsy92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21472OKMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cagr Medical, PLLC Dermatology CurrentSince Jun 1, 2015 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4805 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-1506

4827 S Western Ave
Oklahoma City, OK 73109
Phone (405) 632-4252

8315 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 492-0075

Organizations & group practices 2

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 5

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1013985217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093835",
            "telephone_number": "405-636-1506",
            "fax_number": "405-636-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093835",
            "telephone_number": "405-636-1506",
            "fax_number": "405-636-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "21472",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OK",
            "license": "21472",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OK",
            "license": "21472",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "21472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.