Active NPI
Carlos Ricaldi, MD
- Anesthesiology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- L1981
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103233604 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28944 | TX | MD | Endodontist |
| L1981 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Clinic of Lubbock | Current | Accepting new patients | |
| Independent Physicians Network PLLC | Anesthesiology | Current | Accepting new patients |
| Grace Clinic of Lubbock | Anesthesiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
-
- Multi-Specialty Clinic/Center
- Lubbock, TX
- NPI 1770237042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.