Active NPI
Carl Joseph D'Agostino, M.D.
- Pain Medicine (Anesthesiology) Physician
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- J7460
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050EA | Other | TX | BLUE CROSS BLUE SHIELD |
| 5541135 | Other | TX | AETNA |
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
- Pain Management
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carl D'Agostino M.D., LTD. | Pain Medicine | Current | Accepting new patients |
| Advanced Surgeons & Physicians Network, Inc. | Current | Accepting new patients | |
| NSMD Medical PLLC | Past | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Midland, TX
- NPI 1467591719
-
dba Advanced Medical Group
- Family Medicine Physician
- Houston, TX
- NPI 1508030917
-
- Primary Care Clinic/Center
- Midland, TX
- NPI 1639329949
-
- Family Medicine Physician
- Midland, TX
- NPI 1528504065
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
- CVS Pharmacy Inc (CVS Pharmacy #04715)
- CVS Pharmacy Inc.
- D & D Investments, Inc. (Rockwood Manor)
- D R Pharmacy Inc (D R Pharmacy)
- D. R. Pharmacy Inc (D. R. Pharmacy)
- Christine M Dailey
- Dale Mansfield Chiropractic Center PLLC
- Dale Mansfield D.C. (Mansfield Chiropractic Center)
- Jesse Jay Dalehite III, M.D.
- Joseph M Damiani, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.