Individual provider Active NPI

Robert Crisp Connally III, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1245762848
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T3937 Issued in TX
Practice address
17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Phone
(877) 866-7123
NPI assigned
Apr 1, 2017
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
433865901MedicaidTX

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
I20220111000329 TX Practitioner - General Surgery 0446587018 Reassigns benefits to 1 organization

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
Vohra Post Acute Care Physicians of Texas, PLLCGroup PAC ID 0042447682, 41 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2440
Removal of skin lesions63
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Post Acute Care Physicians of Texas, PLLC General Practice CurrentSince Dec 13, 2021 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.

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

Verify at the official NPI Registry.