Individual provider Active NPI

Charles Halsted, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1609253707
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
S1818 Issued in TX
Practice address
3625 N Hall St Ste 800
Dallas, TX 75219-5106
Phone
(214) 252-3500
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X S1818 TX Primary

Addresses

Primary practice location

3625 N Hall St Ste 800
Dallas, TX 75219-5106

Mailing address

PO Box 650823 Dept 41197
Dallas, TX 75265-0823
Phone (800) 411-7515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190809000886 TX Practitioner - Anesthesiology 2466789797 Reassigns benefits to 2 organizations
I20240611001971 CO Practitioner - Anesthesiology 2466789797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Valley Anesthesiology, PLLCGroup PAC ID 7113830993, 61 clinicians

Practice addresses (Care Compare)

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1818TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC Anesthesiology CurrentSince Jun 27, 2019 Accepting new patients
Metropolitan Anesthesia Consultants, LLP Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Boulder Valley Anesthesiology, PLLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

4450 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-2532

10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

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 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1609253707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650823 DEPT 41197",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650823",
            "telephone_number": "800-411-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N HALL ST STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195106",
            "telephone_number": "214-252-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTED",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.