NPIMap

Organization Active NPI

Carelon Medical Partners of Arizona, P.C.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1730697483
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARELON MEDICAL PARTNERS OF ARIZONA, P.C.
Practice address
512 W Rosedale St
Fort Worth, TX 76104-4619
Phone
(817) 289-8300
Fax
(817) 289-8263
NPI assigned
Jan 16, 2018
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Timothy Ablion, MD
Title
Owner
Phone
(224) 234-5025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X DC Primary

Addresses

Primary practice location

512 W Rosedale St
Fort Worth, TX 76104-4619

Mailing address

12900 Park Plaza Dr
Cerritos, CA 90703-9329
Phone (562) 622-2950

Other practice location 1

444 Foxon Rd
East Haven, CT 06513-2037
Phone (475) 227-0511

Other practice location 2

1169 Jefferson Ave
Memphis, TN 38104-7217
Phone (901) 229-2283

Other practice location 3

1505 Maryland Ave NE
Washington, DC 20002-7604
Phone (202) 396-1780

Other names 1

  • CareMore Medical Associates, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TN, TX, CT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20181120000064 DC Part B Supplier - Clinic/Group Practice 6406010552 Receives reassigned benefits from 9 practitioners
Practice locations: Washington, DC
O20220729001657 TN Part B Supplier - Clinic/Group Practice 6406010552 Receives reassigned benefits from 19 practitioners
Practice locations: Memphis, TN
O20220816003733 TX Part B Supplier - Clinic/Group Practice 6406010552 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
Practice locations: Fort Worth, TX
O20220824000466 CT Part B Supplier - Clinic/Group Practice 6406010552 Receives reassigned benefits from 11 practitioners
Practice locations: East Hartford, CT; East Haven, CT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5055 E Broadway Blvd
#111
Tucson, AZ 85711
Phone (520) 529-8387

12900 Park Plaza Dr
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

1505 Maryland Ave NE
Washington, DC 20002
Phone (202) 396-1760

1551 Maryland Ave NE
Washington, DC 20002
Phone (202) 396-1780

1530 E Euclid Ave
Des Moines, IA 50313
Phone (515) 262-0404

2940 Covington Pike
Memphis, TN 38128
Phone (901) 229-2283

6518 Quince Rd
Memphis, TN 38119
Phone (901) 229-2283

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1730697483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-622-2950",
            "fax_number": "562-977-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044619",
            "telephone_number": "817-289-8300",
            "fax_number": "817-289-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Foxon Rd",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065132037",
            "country_code": "US",
            "telephone_number": "475-227-0511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1169 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047217",
            "country_code": "US",
            "telephone_number": "901-229-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Maryland Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200027604",
            "country_code": "US",
            "telephone_number": "202-396-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARELON MEDICAL PARTNERS OF ARIZONA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ABLION",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-234-5025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMore Medical Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.