Active NPI
Robert Crisp Connally III, MD
- Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- T3937
- Practice address
- 17218 Preston Rd Ste 2000
Dallas, TX 75252-4018 - Phone
- (877) 866-7123
- NPI assigned
- Apr 1, 2017
- Last updated
- Jul 25, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | T3937 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | T3937 | TX | Primary |
Addresses
Primary practice location
17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Mailing address
PO Box 742712
Atlanta, GA 30374-2712
Phone (877) 866-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433865901 | 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
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 N State Hwy 274
Kemp, TX 75143-4617
Phone (877) 866-7123
1201 Clarks Dr
Abilene, TX 79602-3146
Phone (877) 866-7123
1414 College St
Sulphur Springs, TX 75482-3431
Phone (877) 866-7123
150 47TH St SE
Paris, TX 75462-7417
Phone (903) 784-3100
150 Gibson Rd
Athens, TX 75751-5611
Phone (877) 866-7123
1611 W Royall Blvd
Malakoff, TX 75148-6202
Phone (877) 866-7123
17218 Preston Rd
Suite 2000
Dallas, TX 75252-4018
Phone (469) 518-8472
2885 Stillhouse Rd
Paris, TX 75462-2042
Phone (877) 866-7123
2900 Stillhouse Rd
Paris, TX 75462-2029
Phone (903) 785-1601
300 E Baker St
Clarksville, TX 75426-5034
Phone (877) 866-7123
411 Airport Rd
Sulphur Springs, TX 75482-2005
Phone (877) 866-7123
500 Valle Vista Dr
Athens, TX 75751-2760
Phone (877) 866-7123
910 S Beach St
Winnsboro, TX 75494-3702
Phone (877) 866-7123
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 2440 |
| Removal of skin lesions | 63 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of Texas, PLLC | General Practice | Current | Accepting new patients |
| Hamilton County Hospital District | Past | Accepting new patients | |
| Coryell County Memorial Hospital Authority | Past | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185
3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484
401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094
5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472
1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300
545 E John Carpenter Fwy
Ste 300
Irving, TX 75062
Phone (804) 306-0783
Organizations & group practices 3
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.
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- NPI 1821424789
General Practice
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- NPI 1780124594
-
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- Skilled Nursing Facility
- Sulphur Springs, TX
- NPI 1477889830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1245762848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742712",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742712",
"telephone_number": "877-866-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17218 PRESTON RD STE 2000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752524018",
"telephone_number": "877-866-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNALLY",
"first_name": "ROBERT",
"middle_name": "CRISP",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-01",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "T3937",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T3937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433865901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.