Active NPI
Kurtis David Carlock, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 0101284933
- Practice address
- 1715 North George Mason Dr
Medical Offices D, Suite 504
Arlington, VA 22205 - Phone
- (703) 525-2200
- NPI assigned
- Mar 29, 2019
- Last updated
- Aug 12, 2025
- 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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 0101284933 | VA | Primary |
Addresses
Primary practice location
1715 North George Mason Dr
Medical Offices D, Suite 504
Arlington, VA 22205
Mailing address
1715 North George Mason Drive
Medical Offices D, Suite 504
Arlington, VA 22205
Phone (703) 525-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 N George Mason Dr
Suite 504
Arlington, VA 22205-3670
Phone (703) 525-2200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 16 |
| Knee replacement | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101284933 | VA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction | Orthopaedic Surgery | Current | Accepting new patients |
| Orthomidwest, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthomidwest, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737
9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591
1715 N George Mason Dr
Ste 504
Arlington, VA 22205
Phone (703) 525-2200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Arlington, VA
- NPI 1053459149
DC, Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- Durable Medical Equipment & Medical Supplies
- McHenry, IL
- NPI 1346866373
Orthopaedic Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Falls Church, VA
- NPI 1811269970
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1245791458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 NORTH GEORGE MASON DRIVE",
"address_2": "MEDICAL OFFICES D, SUITE 504",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22205",
"telephone_number": "703-525-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 NORTH GEORGE MASON DR",
"address_2": "MEDICAL OFFICES D, SUITE 504",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22205",
"telephone_number": "703-525-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLOCK",
"first_name": "KURTIS",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2025-08-12",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "VA",
"license": "0101284933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.