NPIMap

Individual provider Active NPI

Michael E. Carley, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Dallas, TX
National Provider Identifier
1225053622
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
K2867 Issued in TX
Practice address
4501 Swiss Ave
Dallas, TX 75204
Phone
(214) 820-8700
Fax
(214) 818-8707
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K2867 TX
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X K2867 TX Primary

Addresses

Primary practice location

4501 Swiss Ave
Dallas, TX 75204

Mailing address

4501 Swiss Ave
Dallas, TX 75204
Phone (214) 820-8700

Other practice location 1

108 E Corral Ave
Soldotna, AK 99669-7524
Phone (907) 714-5300

Other identifiers 6

IdentifierTypeStateIssuer
153641905MedicaidTX
153641903MedicaidTX
8G0554OtherTXBCBS
153641904MedicaidTX
153641901MedicaidTX
153641906MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcarley958398@ak.providencedirect.org
Direct Messaging Address mcarley222499@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041106000049 TX Practitioner - Obstetrics/Gynecology 7416910898 Reassigns benefits to 1 organization
I20190321001860 AK Practitioner - Obstetrics/Gynecology 7416910898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1505 W Jefferson St
Suite 160
Waxahachie, TX 75165-2200
Phone (214) 820-1748

2001 N Macarthur Blvd
Suite 450
Irving, TX 75061-2294
Phone (972) 251-2388

250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4515

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

4501 Swiss Ave
Baylor Scott and White
Dallas, TX 75204-7119
Phone (214) 820-8700

4601 Old Shepard PL
Suite 301
Plano, TX 75093-5279
Phone (214) 820-8700

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth1-10
Skin biopsy1-10
Removal of the uterus54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2867TXMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Peninsula General Hospital Inc CurrentSince Jan 23, 2019 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2002 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2002 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Current Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Jan 23, 2019 Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology Past Accepting new patients

Locations

108 E Corral Ave
Soldotna, AK 99669
Phone (907) 260-5893

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

289 N Fireweed St
Ste D
Soldotna, AK 99669
Phone (907) 262-6454

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3600 Gaston Ave
Ste 558
Dallas, TX 75246

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

4501 Swiss Ave
Dallas, TX 75204

900 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 921-6166

700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900

1441 S Midlothian Pkwy
Ste 100A
Midlothian, TX 76065
Phone (469) 800-9440

1441 S Midlothian Pkwy
Ste 100
Midlothian, TX 76065
Phone (469) 800-9600

4708 Alliance Blvd
Ste 270
Plano, TX 75093
Phone (214) 826-6276

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: mcarley958392@ak.providencedirect.org

Organizations & group practices 8

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1225053622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "214-820-8700",
            "fax_number": "214-818-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "214-820-8700",
            "fax_number": "214-818-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E Corral Ave",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697524",
            "country_code": "US",
            "telephone_number": "907-714-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2867",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "K2867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153641905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153641903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G0554",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153641904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153641901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153641906",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarley958398@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "108 E Corral Ave",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarley222499@direct.sw.org",
            "affiliation": "N",
            "address_1": "4501 Swiss Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.