Individual provider Active NPI

Daniela Carrasco

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1396206264
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T7881 Issued in TX
Practice address
803 W Davis St
Dallas, TX 75208-4954
Phone
(469) 372-6200
Fax
(469) 372-6203
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 T7881 TX Primary

Addresses

Primary practice location

803 W Davis St
Dallas, TX 75208-4954

Mailing address

803 W Davis St
Dallas, TX 75208-4954
Phone (469) 372-6200

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
I20220901003650 TX Practitioner - Internal Medicine 3577947910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1222 N Bishop Ave
Suite 300
Dallas, TX 75208-4176
Phone (214) 941-1353

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7881TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Sep 26, 2022 Accepting new patients
Medhealth Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1222 N Bishop Ave
Ste 300
Dallas, TX 75208
Phone (214) 941-1353

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: dcarrasco189513@dm.mhd.com

Organizations & group practices 3

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 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1396206264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084954",
            "telephone_number": "469-372-6200",
            "fax_number": "469-372-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W DAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084954",
            "telephone_number": "469-372-6200",
            "fax_number": "469-372-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T7881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.