Individual provider Active NPI

Jeremy S Carrasco, MD

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1730149147
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M2579 Issued in TX
Practice address
6124 W Parker Rd
Suite 436
Plano, TX 75093-8125
Phone
(972) 608-3356
Fax
(972) 608-3360
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M2579 TX Primary

Addresses

Primary practice location

6124 W Parker Rd
Suite 436
Plano, TX 75093-8125

Mailing address

6124 W Parker Rd Ste 436
Plano, TX 75093-8125
Phone (972) 608-3356

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
I20060705000127 TX Practitioner - General Surgery 3577575844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6124 W Parker Rd
Suite 436
Plano, TX 75093-8125
Phone (972) 608-3356

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2579TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialty Physicians, PA CurrentSince Jan 8, 2010 Accepting new patients

Locations

6124 W Parker Rd
Ste 436
Plano, TX 75093
Phone (972) 378-5250

6124 W Parker Rd
Ste 236
Plano, TX 75093
Phone (972) 608-3356

399 W Campbell Rd
Ste 302
Richardson, TX 75080
Phone 214948770045280

Interoperability endpoints

  • Direct secure messaging: jeremy.carrascomd.p1@direct.smi.nextgenshare.com

Organizations & group practices 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1730149147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 436",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938125",
            "telephone_number": "972-608-3356",
            "fax_number": "972-608-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "SUITE 436",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938125",
            "telephone_number": "972-608-3356",
            "fax_number": "972-608-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "JEREMY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.