Individual provider Active NPI

Carl Joseph D'Agostino, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Midland, TX
National Provider Identifier
1265571509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J7460 Issued in TX
Practice address
2407 W Louisiana Ave
Suite 101
Midland, TX 79701-5807
Phone
(432) 620-8888
Fax
(432) 620-8187
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X J7460 TX Primary

Addresses

Primary practice location

2407 W Louisiana Ave
Suite 101
Midland, TX 79701-5807

Mailing address

2407 W Louisiana Ave
Suite 101
Midland, TX 79701-5807
Phone (432) 620-8888

Other identifiers 2

IdentifierTypeStateIssuer
0050EAOtherTXBLUE CROSS BLUE SHIELD
5541135OtherTXAETNA

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
I20091223000219 TX Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Family Practice 5092625590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of New Mexico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3313 Andrews Hwy
Midland, TX 79703-5148
Phone (432) 620-8888

4900 Island Dr
Midland, TX 79707-1411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carl D'Agostino M.D., LTD. Pain Medicine CurrentSince Mar 13, 2012 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients
NSMD Medical PLLC PastSince Feb 8, 2017 Accepting new patients
Courtyard Primary Care & Medical Spa,PA Past Accepting new patients

Locations

2436 S Interstate 35 E
Ste 336
Denton, TX 76205
Phone (940) 484-7000

2407 W Louisiana Ave
Ste 101
Midland, TX 79701
Phone (432) 620-8888

3313 Andrews Hwy
Midland, TX 79703
Phone (432) 620-8888

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265571509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W LOUISIANA AVE",
            "address_2": "SUITE 101",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015807",
            "telephone_number": "432-620-8888",
            "fax_number": "432-620-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W LOUISIANA AVE",
            "address_2": "SUITE 101",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015807",
            "telephone_number": "432-620-8888",
            "fax_number": "432-620-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "CARL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J7460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0050EA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5541135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.