Individual provider Active NPI

Carlos L Macias, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1063476877
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
J2172 Issued in TX
Practice address
1325 Pennsylvania Ave Ste 550
Fort Worth, TX 76104-2148
Phone
(817) 250-7190
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X J2172 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave Ste 550
Fort Worth, TX 76104-2148

Mailing address

909 9TH Ave
Suite 210
Fort Worth, TX 76104-3903
Phone (817) 335-1131

Other practice location 1

609 Medical Center Dr Ste 2500
Decatur, TX 76234-3846
Phone (817) 380-6621

Other practice location 2

909 9th Ave
Suite 210
Fort Worth, TX 76104-3903
Phone (817) 335-1131

Other identifiers 2

IdentifierTypeStateIssuer
105424901MedicaidTX
8HT407OtherTXBCBSTX

Other names 1

  • Dr. Carlos L Macias Other name

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
I20100804001168 TX Practitioner - Thoracic Surgery 4284720434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1325 Pennsylvania Ave
Suite 550
Fort Worth, TX 76104-2148
Phone (817) 250-7190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)52
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2172TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Nov 1, 2024 Accepting new patients
Decatur Hospital Authority Current Accepting new patients
Wise Clinical Care Associates CurrentSince Nov 1, 2017 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Consultants in Cardio Thoracic and Vascular Surgery, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 5, 1997 Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

609 Medical Center Dr
Ste 2500
Decatur, TX 76234
Phone (214) 337-6362

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962

909 9th Ave
Ste 210
Fort Worth, TX 76104
Phone (817) 335-1131

1325 Pennsylvania Ave
Ste 550
Ft Worth, TX 76104
Phone (817) 250-7190

Interoperability endpoints

  • Direct secure messaging: carlosmacias@wise.allscriptsdirect.net
  • Direct secure messaging: cmacias20017@direct.texashealth.org

Organizations & group practices 7

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1063476877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 210",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-335-1131",
            "fax_number": "817-335-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 550",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042148",
            "telephone_number": "817-250-7190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Medical Center Dr Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343846",
            "country_code": "US",
            "telephone_number": "817-380-6621",
            "fax_number": "817-380-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 9th Ave",
            "address_2": "SUITE 210",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043903",
            "country_code": "US",
            "telephone_number": "817-335-1131",
            "fax_number": "817-335-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "CARLOS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J2172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105424901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8HT407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "MACIAS",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.