Individual provider Active NPI

Craig A Ferrara, DO

  • Vascular Surgery Physician
  • Desoto, TX
National Provider Identifier
1477552073
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
L1035 Issued in TX
Practice address
2801 Bolton Boone Drive #105
Desoto, TX 75115
Phone
(972) 296-2122
Fax
(972) 296-2522
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X L1035 TX Primary

Addresses

Primary practice location

2801 Bolton Boone Drive #105
Desoto, TX 75115

Mailing address

2801 Bolton Boone Dr Ste 105
Desoto, TX 75115-2041
Phone (214) 946-5165

Other identifiers 2

IdentifierTypeStateIssuer
P00477283OtherOKMEDICARE PIN
142046501MedicaidTX

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
I20051018000896 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 9931125028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Vascular Group LLPGroup PAC ID 0941391072, 5 clinicians

Practice addresses (Care Compare)

2801 Bolton Boone Dr
Suite 105
Desoto, TX 75115-2041
Phone (214) 946-5165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miller-Franklin Limited Liability Partnership CurrentSince Mar 23, 2009 Accepting new patients
Laparoscopy Bariatrics & Surgery PA CurrentSince Sep 1, 2005 Accepting new patients

Locations

221 W Colorado Blvd
Ste 625
Dallas, TX 75208
Phone (214) 943-8605

2801 Bolton Boone Dr
Ste 105
Desoto, TX 75115
Phone (214) 946-5165

2501 Parkview Dr
Ste 560
Fort Worth, TX 76102
Phone (817) 850-1100

Interoperability endpoints

  • Direct secure messaging: craig.ferrara@1290.direct.myezyaccess.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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1477552073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BOLTON BOONE DR STE 105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152041",
            "telephone_number": "214-946-5165",
            "fax_number": "972-296-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BOLTON BOONE DRIVE #105",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "972-296-2122",
            "fax_number": "972-296-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARA",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "L1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "P00477283",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142046501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.