Individual provider Active NPI

Charles M McClean, D.O.

  • Infectious Disease Physician
  • Arlington, TX
National Provider Identifier
1144272071
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
J0590 Issued in TX
Practice address
3600 Matlock Rd
Suite 106
Arlington, TX 76015-3679
Phone
(817) 557-1900
Fax
(817) 557-1942
NPI assigned
May 17, 2006
Last updated
Apr 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X J0590 TX Primary

Addresses

Primary practice location

3600 Matlock Rd
Suite 106
Arlington, TX 76015-3679

Mailing address

3600 Matlock Rd
Suite 106
Arlington, TX 76015-3679
Phone (817) 557-1900

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
I20110615000710 TX Practitioner - Infectious DiseasePractitioner - Other (Physician) 6204013451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 N Cooper St
Kindred Hospital Arlington
Arlington, TX 76011-5540
Phone (817) 548-3428

3600 Matlock Rd
Suite 106
Arlington, TX 76015-3679
Phone (817) 557-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M McClean DO PA Infectious Disease CurrentSince Jun 8, 2011 Accepting new patients

Locations

1000 N Cooper St
Arlington, TX 76011
Phone (817) 548-3400

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

3600 Matlock Rd
Ste 106
Arlington, TX 76015
Phone (817) 419-2973

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

Interoperability endpoints

  • Direct secure messaging: charlesmcclean@cmmcdopa.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1144272071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MATLOCK RD",
            "address_2": "SUITE 106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153679",
            "telephone_number": "817-557-1900",
            "fax_number": "817-557-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MATLOCK RD",
            "address_2": "SUITE 106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153679",
            "telephone_number": "817-557-1900",
            "fax_number": "817-557-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEAN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "J0590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.