Individual provider Active NPI

Michael Darnell, MD

  • Specialist
  • Ft Worth, TX
National Provider Identifier
1750365185
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M2936 Issued in TX
Practice address
7100 Oakmont Blvd Ste 204
Ft Worth, TX 76132-3911
Phone
(972) 566-3040
Fax
(682) 499-5921
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M2936 TX
Specialist 174400000X M2936 TX Primary

Addresses

Primary practice location

7100 Oakmont Blvd Ste 204
Ft Worth, TX 76132-3911

Mailing address

7100 Oakmont Blvd Ste 204
Ft Worth, TX 76132-3911
Phone (972) 566-3040

Other identifiers 2

IdentifierTypeStateIssuer
180531901MedicaidTX
946247OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20160205000790 NM Practitioner - General SurgeryPractitioner - Vascular Surgery 0042122293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taos Professional Services,LLCGroup PAC ID 6507019924, 30 clinicians

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8902

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Varicose vein removal13
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Professional Services, LLC CurrentSince Dec 21, 2015 Accepting new patients
Taos Professional Services,LLC Surgery CurrentSince Dec 21, 2015 Accepting new patients
Michael Darnell, MD PA Specialist PastSince Jan 20, 2006 Accepting new patients
Taos Health Systems Inc Holy Cross Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1399 Weimer Rd
Ste 600
Taos, NM 87571
Phone (505) 751-0334

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1750365185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 204",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "972-566-3040",
            "fax_number": "682-499-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 204",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "972-566-3040",
            "fax_number": "682-499-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M2936",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M2936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180531901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "946247",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.