Individual provider Active NPI

Carlos Raul Barcelo, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
National Provider Identifier
1447233523
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M2551 Issued in TX
Practice address
7777 Forest LN Ste C528
Dallas, TX 75230-6848
Phone
(972) 331-1900
Fax
(972) 331-1909
NPI assigned
Nov 22, 2005
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X M2551 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C528
Dallas, TX 75230-6848

Mailing address

7777 Forest LN Ste C528
Dallas, TX 75230-6848
Phone (972) 331-1900

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
I20060109000284 TX Practitioner - Plastic and Reconstructive Surgery 1850314600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Plastic Surgery, PLLCGroup PAC ID 0446622286, 5 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite C528
Dallas, TX 75230-6848
Phone (972) 331-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2551TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Plastic Surgery, PLLC Plastic and Reconstructive Surgery CurrentSince Oct 25, 2022 Accepting new patients
Urgent Surgery Associates, P.a. CurrentSince Nov 1, 2025 Accepting new patients

Locations

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste C528
Dallas, TX 75230
Phone (972) 331-1900

7777 Forest Ln
Ste C717
Dallas, TX 75230
Phone (972) 566-6555

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/PBxXyBpjIJSsFZVJZMPquS1RJJ3_fyh3/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1447233523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C528",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306848",
            "telephone_number": "972-331-1900",
            "fax_number": "972-331-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C528",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306848",
            "telephone_number": "972-331-1900",
            "fax_number": "972-331-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELO",
        "first_name": "CARLOS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M2551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.