Active NPI
Donald Craig Whitcomb, M.D.
- Family Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1124036884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F2107
- Practice address
- 2461 Robinson Rd
Grand Prairie, TX 75051-3852 - Phone
- (972) 606-1334
- Fax
- (972) 606-1637
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F2107 | TX | Primary |
Addresses
Primary practice location
2461 Robinson Rd
Grand Prairie, TX 75051-3852
Mailing address
2461 Robinson Rd
Grand Prairie, TX 75051-3852
Phone (972) 606-1334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034483001 | Medicaid | TX | |
| 080014510 | Other | TX | RR MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060227000426 | TX | Practitioner - Family Practice | 9133037070 | Practice locations: Grand Prairie, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2461 Robinson Rd
Grand Prairie, TX 75051-3852
2461 Robinson Rd a
Grand Prairie, TX 75051-3852
Hospital & facility affiliations
- Medical City Arlington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Peak Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Grand Prairie, TX
- NPI 1811038029
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1124036884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2461 ROBINSON RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513852",
"telephone_number": "972-606-1334",
"fax_number": "972-606-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2461 ROBINSON RD",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750513852",
"telephone_number": "972-606-1334",
"fax_number": "972-606-1637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "DONALD",
"middle_name": "CRAIG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F2107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034483001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080014510",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
- Wellspring Psychological Associates, P.L.L.C.Wellspring Psycho
- Whale of Hope, Inc.
- Joann Kim Whang
- David Whisnant, PHARMD
- Whitcomb Memorial Physical Therapy, Inc.
- Danielle White, CPI, CMAC, CPT, EKGC
- Eileen White, M.S., CCC-SLP
- H. Roger White, M.ED., M.A.
- Nykesha White, LPC
- Shontell Anita White, AGPCNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.