Individual provider Active NPI

Jeffrey Todd Carruthers, M.D.

  • Family Medicine Physician
  • Allen, TX
National Provider Identifier
1386645562
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5849 Issued in TX
Practice address
1120 Raintree Circle
Suite 210
Allen, TX 75013
Phone
(972) 852-1534
Fax
(972) 982-7459
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5849 TX Primary

Addresses

Primary practice location

1120 Raintree Circle
Suite 210
Allen, TX 75013

Mailing address

1120 Raintree Circle
Suite 210
Allen, TX 75013
Phone (972) 852-1534

Other identifiers 1

IdentifierTypeStateIssuer
8W8290OtherTXBCBS

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
I20070731000617 TX Practitioner - Family Practice 5193816486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1120 Raintree Cir
Suite 210
Allen, TX 75013-5258
Phone (972) 852-1534

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Medical City Plano Hospital, Plano, TX, CCN 450651

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
J. Todd Carruthers, MD, PA Family Medicine CurrentSince Oct 31, 2006 Accepting new patients

Locations

1120 Raintree Cir
Ste 210
Allen, TX 75013
Phone (972) 852-1534

1220 N Alma Dr
Allen, TX 75013
Phone (972) 727-7334

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBCDBD/Endpoint/BBCDBD
  • Direct secure messaging: jeffrey.carruthers@tcmd.eclinicaldirectplus.com

Organizations & group practices 1

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 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1386645562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIRCLE",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-852-1534",
            "fax_number": "972-982-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIRCLE",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-852-1534",
            "fax_number": "972-982-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W8290",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.