NPIMap

Individual provider Active NPI

Carl G W Dahlberg, M.D.

  • Pulmonary Disease Physician
  • Columbus, TX
National Provider Identifier
1376596130
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H3559 Issued in TX
Practice address
Columbus Medical Clinic
2122 Hwy 71 S
Columbus, TX 78934
Phone
(979) 732-2318
Fax
(979) 732-2310
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X H3559 TX
Pulmonary Disease Physician 207RP1001X H3559 TX Primary

Addresses

Primary practice location

Columbus Medical Clinic
2122 Hwy 71 S
Columbus, TX 78934

Mailing address

Dept 794
PO Box 4346
Houston, TX 77210-4346
Phone (713) 255-4000

Other identifiers 4

IdentifierTypeStateIssuer
8R1141OtherTXBLUE CROSS PROV #
4104575OtherTXAETNA PROVIDER #
P00184430OtherTXRAILROAD MEDICARE NUMBER
102112303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000696 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7315918406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Baylor College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Community HospitalGroup PAC ID 1557250446, 11 clinicians

Practice addresses (Care Compare)

2122 Hwy 71 S
Columbus, TX 78934-3011
Phone (979) 732-2318

Hospital & facility affiliations

  • 1St Texas Home Health Home health agency, Sealy, TX, CCN 679029
  • Columbus Community Hospital Hospital, Columbus, TX, CCN 450370
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
Pulmonary Critical Care and Sleep Medicine Consultants, LLP Critical Care Medicine CurrentSince Dec 1, 2004 Accepting new patients
Columbus Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
TMH Physician Associates PLLC Critical Care Medicine Past Accepting new patients

Locations

2122 Highway 71 S
Columbus, TX 78934
Phone (979) 732-2318

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

6560 Fannin St
Ste 1632
Houston, TX 77030
Phone (713) 255-4000

6624 Fannin St
Ste 1730
Houston, TX 77030
Phone (713) 255-4000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/58414
  • Direct secure messaging: cdahlberg20461@direct.houstonmethodist.org
  • Direct secure messaging: carldahlberg@pccsm.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1376596130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 794",
            "address_2": "PO BOX 4346",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-255-4000",
            "fax_number": "713-255-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLUMBUS MEDICAL CLINIC",
            "address_2": "2122 HWY 71 S",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "78934",
            "telephone_number": "979-732-2318",
            "fax_number": "979-732-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLBERG",
        "first_name": "CARL",
        "middle_name": "G W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "H3559",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H3559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "8R1141",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4104575",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00184430",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102112303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

Verify at the official NPI Registry.