Individual provider Active NPI

Carl Edward Hubbell, MD

  • Plastic Surgery Physician
  • Crowley, TX
National Provider Identifier
1245295534
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
F1662 Issued in TX
Practice address
787 E FM 1187
Suite B
Crowley, TX 76036
Phone
(817) 293-6988
Fax
(817) 568-2550
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X F1662 TX Primary

Addresses

Primary practice location

787 E FM 1187
Suite B
Crowley, TX 76036

Mailing address

787 E FM 1187
Suite B
Crowley, TX 76036
Phone (817) 293-6988

Other identifiers 1

IdentifierTypeStateIssuer
033357701MedicaidTX

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
I20110119000838 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 3577742824 Practice locations: Crowley, TX

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

787 E FM
1187 Suite B
Crowley, TX 76036-4357
Phone (817) 293-6988

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1662TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Care Concirege Health Services Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1245295534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 E FM 1187",
            "address_2": "SUITE B",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "76036",
            "telephone_number": "817-293-6988",
            "fax_number": "817-568-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 E FM 1187",
            "address_2": "SUITE B",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "76036",
            "telephone_number": "817-293-6988",
            "fax_number": "817-568-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "CARL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "F1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033357701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.