Individual provider Active NPI

Carlos Ricaldi, MD

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1225091978
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L1981 Issued in TX
Practice address
7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202
Phone
(806) 744-7223
Fax
(806) 740-3325
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L1981 TX Primary

Addresses

Primary practice location

7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202

Mailing address

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223

Other practice location 1

3420 22nd Place
Lubbock, TX 79410
Phone (806) 725-1800

Other practice location 2

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223

Other identifiers 1

IdentifierTypeStateIssuer
103233604MedicaidTX

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
I20090709000561 TX Practitioner - Anesthesiology 3971655655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians

Practice addresses (Care Compare)

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 725-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28944TXMDEndodontist
L1981TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Clinic of Lubbock CurrentSince Oct 1, 2023 Accepting new patients
Independent Physicians Network PLLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Grace Clinic of Lubbock Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Covenant Medical Group Anesthesiology Past Accepting new patients

Locations

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

7509 Marsha Sharp Fwy
Lubbock, TX 79407
Phone (806) 723-9000

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • Direct secure messaging: carlos.ricaldi@direct.myteamcare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1225091978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072520",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794078202",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 22nd Place",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79410",
            "country_code": "US",
            "telephone_number": "806-725-1800",
            "fax_number": "806-723-6532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072520",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICALDI",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L1981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103233604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.