Carlos A Arche, MD
Individual provider Active NPI Hospitalist Physician · Amarillo, TX
NPI 1366427965 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1366427965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- J4637 (TX)
- Practice address
- 1600 Wallace Blvd
Amarillo, TX 79106-1799 - Phone
- (806) 212-2129
- Fax
- (806) 212-2246
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000507 | TX | Practitioner - Hospitalist |
0042257073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4637 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bsa Physicians Group Inc | Current |
Accepting new patients | |
| Bsa Physicians Group Inc | Internal Medicine | Current |
Accepting new patients |
| Freestone Physician Services PA | Hospitalist | Past | Accepting new patients |
| Cleveland Physician Services P a | Hospitalist | Past | Accepting new patients |
| Diabetic Management Institute of South Texas, PLLC | Past |
Accepting new patients |
Locations
1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129
Interoperability endpoints
- carche84478@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J4637 | TX | |
| Hospitalist Physician | 208M00000X | J4637 | TX | Yes |
Addresses
Primary practice location
1600 Wallace Blvd
Amarillo, TX 79106-1799
Mailing address
PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119056304 | Medicaid | TX | |
| 270283YM5U | Other | TX | MEDICARE |
NPI Registry JSON
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1366427965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840026",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840026",
"telephone_number": "806-212-6965",
"fax_number": "806-212-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WALLACE BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061799",
"telephone_number": "806-212-2129",
"fax_number": "806-212-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHE",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J4637",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "J4637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119056304",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "270283YM5U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Apollo Medflight, LLC
- Carin C Appel
- Jimmie Ray Appel Jr.
- Antonio V Aragon II
- Jenda Millan Arawiran
- Branch T Archer III
- Estelle Archer
- Grace Emily Archer
- John Michael Archer
- Richard K Archer Jr.
All providers in Amarillo, TX · Hospitalist Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.