Individual provider Active NPI

Fred F Ciarochi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Duncanville, TX
National Provider Identifier
1023038973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
E6752 Issued in TX
Practice address
903 S Main St
#101
Duncanville, TX 75137-2347
Phone
(972) 296-9947
Fax
(972) 296-9947
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X E6752 TX Primary

Addresses

Primary practice location

903 S Main St
#101
Duncanville, TX 75137-2347

Mailing address

903 S Main St
#101
Duncanville, TX 75137-2347
Phone (972) 296-9947

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091103000314 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 0941348437 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6752TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Dec 11, 2017 Accepting new patients
Healthtexas Provider Network Endocrinology, Diabetes & Metabolism CurrentSince Dec 11, 2017 Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023038973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST",
            "address_2": "#101",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372347",
            "telephone_number": "972-296-9947",
            "fax_number": "972-296-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S MAIN ST",
            "address_2": "#101",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751372347",
            "telephone_number": "972-296-9947",
            "fax_number": "972-296-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAROCHI",
        "first_name": "FRED",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "E6752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.