Individual provider Active NPI

Ricardo J Carrizo, MD

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1356453013
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8945 Issued in TX
Practice address
1411 E Amarillo Blvd
Amarillo, TX 79107-5555
Phone
(806) 354-1015
Fax
(806) 351-7274
NPI assigned
Aug 31, 2006
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8945 TX Primary

Addresses

Primary practice location

1411 E Amarillo Blvd
Amarillo, TX 79107-5555

Mailing address

5012 US Hwy 75 S Ste 300
Attn. Ipm Billing
Denison, TX 75020
Phone (806) 351-7200

Other identifiers 5

IdentifierTypeStateIssuer
8R5450OtherTXBCBS
P01407122OtherTXRR MEDICARE
8EK956OtherTXBCBS
0427874 03MedicaidTX
042787402MedicaidTX

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
I20040729000747 TX Practitioner - Internal MedicinePractitioner - Family Practice 4082684766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Texas Wyatt Clinic, PLLCGroup PAC ID 8224255997, 7 clinicians

Practice addresses (Care Compare)

1411 E Amarillo Blvd
Amarillo, TX 79107-5555
Phone (806) 354-1015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor Rohm MD PA CurrentSince Mar 1, 2021 Accepting new patients
Vibra Physicians LLC CurrentSince Dec 14, 2013 Accepting new patients
Northwest Texas Wyatt Clinic PLLC Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1411 E Amarillo Blvd
Amarillo, TX 79107
Phone (806) 351-7200

7501 Wallace Blvd
Amarillo, TX 79124
Phone (806) 351-1600

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

Interoperability endpoints

  • Direct secure messaging: ricardo.carrizo@ntwc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1356453013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 S STE 300",
            "address_2": "ATTN. IPM BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "806-351-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075555",
            "telephone_number": "806-354-1015",
            "fax_number": "806-351-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIZO",
        "first_name": "RICARDO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R5450",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01407122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EK956",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427874 03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042787402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.