Individual provider Active NPI

Christian L Carr, M.D.

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1124070909
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L3601 Issued in TX
Practice address
5450 Clearfork Main St Ste 420
Fort Worth, TX 76109
Phone
(817) 566-9361
Fax
(817) 422-0858
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L3601 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 420
Fort Worth, TX 76109

Mailing address

5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559
Phone (817) 566-9361

Other practice location 1

5450 Clearfork Main St Ste 420
Fort Worth, TX 76109-3559
Phone (817) 334-1400

Other practice location 2

800 5th Ave
Suite 300
Fort Worth, TX 76104-7300
Phone (817) 334-1400

Other identifiers 2

IdentifierTypeStateIssuer
156615002MedicaidTX
156615001MedicaidTX

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
I20100428000183 TX Practitioner - General Surgery 6103840467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 1997
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)

670 Westport Pkwy
5 102
Grapevine, TX 76051-6739
Phone (817) 233-0417

Hospital & facility affiliations

  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Melanoma (skin cancer) excision1-10
Removal of tissue11
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 2012 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Oct 1, 2012 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

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

5450 Clearfork Main St
Ste 420
Fort Worth, TX 76109
Phone (817) 334-1465

800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400

1325 Pennsylvania Ave
Ste 200
Ft Worth, TX 76104
Phone (817) 250-4235

670 Westport Pkwy
#5102
Grapevine, TX 76051
Phone (817) 233-0417

2050 Hall Johnson Rd
Ste 200
Grapevine, TX 76051
Phone (817) 267-2678

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ccarr4445@direct.texashealth.org

Organizations & group practices 5

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 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124070909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 420",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093559",
            "telephone_number": "817-566-9361",
            "fax_number": "817-422-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 420",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-566-9361",
            "fax_number": "817-422-0858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Clearfork Main St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761093559",
            "country_code": "US",
            "telephone_number": "817-334-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 5th Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047300",
            "country_code": "US",
            "telephone_number": "817-334-1400",
            "fax_number": "817-334-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "CHRISTIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L3601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156615002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156615001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.