Individual provider Active NPI

Charlton Woodly, DPM

  • Primary Podiatric Medicine Podiatrist
  • Richland Hills, TX
National Provider Identifier
1609833268
Registry record updated Aug 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1764 Issued in TX
Practice address
7208 Glenview Dr
Richland Hills, TX 76180-8693
Phone
(817) 284-8271
Fax
(817) 284-2940
NPI assigned
Apr 27, 2006
Last updated
Aug 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1764 TX Primary

Addresses

Primary practice location

7208 Glenview Dr
Richland Hills, TX 76180-8693

Mailing address

7208 Glenview Dr
Richland Hills, TX 76180-8693
Phone (817) 284-8271

Other practice location 1

5505 Milford Dr
Fort Worth, TX 76137-4972
Phone (817) 596-5077

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000442 TX Practitioner - Podiatry 4587696117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

124 E US Hwy 80
Suite 104
Forney, TX 75126-8607
Phone (972) 552-5599

251 W Medical Ctr Blvd
Suite 200
Webster, TX 77598-4242
Phone (866) 552-4866

400 W Arbrook Blvd
Suite 201
Arlington, TX 76014-3176
Phone (817) 467-1990

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4066
Phone (972) 712-4161

7208 Glenview Dr
Richland Hills, TX 76180-8693
Phone (817) 203-8101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue347
Removal or shaving of skin growth102
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1764TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC Primary Podiatric Medicine CurrentSince Nov 1, 2019 Accepting new patients
Interventional Partners PLLC Primary Podiatric Medicine CurrentSince Nov 1, 2019 Accepting new patients
Ambulatory Foot Care Primary Podiatric Medicine Past Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

7208 Glenview Dr
Richland Hills, TX 76180
Phone (817) 284-8271

7208 Glenview Dr
Ste B
Richland Hills, TX 76180
Phone (682) 323-9205

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: charlton.woodly.1@2477.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1609833268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 GLENVIEW DR",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808693",
            "telephone_number": "817-284-8271",
            "fax_number": "817-284-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 GLENVIEW DR",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808693",
            "telephone_number": "817-284-8271",
            "fax_number": "817-284-2940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Milford Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374972",
            "country_code": "US",
            "telephone_number": "817-596-5077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODLY",
        "first_name": "CHARLTON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.