Individual provider Active NPI

Clarence Joesph Wolinski III, M.D.

  • General Practice Physician
  • Wichita Falls, TX
National Provider Identifier
1356514780
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N4848 Issued in TX
Practice address
501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Phone
(940) 766-8791
Fax
(940) 766-8421
NPI assigned
Apr 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X N4848 TX Primary

Addresses

Primary practice location

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302

Mailing address

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Phone (940) 766-8791

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
I20140227000446 TX Practitioner - General Practice 0244460848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinics of North Texas LLPGroup PAC ID 8820993496, 33 clinicians

Practice addresses (Care Compare)

501 Midwestern Pkwy E
Clin of N TX LLP Rad
Wichita Falls, TX 76302-2302
Phone (940) 766-3551

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
65.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4848TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinics of North Texas LLP General Practice CurrentSince Mar 17, 2022 Accepting new patients
Clinics of North Texas LLP Current Accepting new patients

Locations

501 Midwestern Pkwy E
Wichita Falls, TX 76302
Phone (940) 766-3551

Interoperability endpoints

  • Direct secure messaging: clarencewolinski@cntllp.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1356514780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-8791",
            "fax_number": "940-766-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-766-8791",
            "fax_number": "940-766-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLINSKI",
        "first_name": "CLARENCE",
        "middle_name": "JOESPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N4848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.