Carolyn Jill Vandiver, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

K8548 Issued in TX

Practice address

1750 North Hampton Road
Desoto, TX 75115-2306

Phone

(214) 946-4397

Fax

(214) 946-4399

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

Michigan State University College of Human Medicine, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Methodist-CdiGroup PAC ID 3072836600, 43 clinicians

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1164829214
  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Irving, TX
  • NPI 1659628659

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1184356685

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Bedford, TX
  • NPI 1215358957

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1275892341

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Mansfield, TX
  • NPI 1295477974

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Arlington, TX
  • NPI 1689095325

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Euless, TX
  • NPI 1699530857
  NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Desoto, TX
  • NPI 1255738357
  NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Mansfield, TX
  • NPI 1841742038
  NPD

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

• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1790733475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NORTH HAMPTON ROAD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152306",
            "telephone_number": "214-946-4397",
            "fax_number": "214-946-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NORTH HAMPTON ROAD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152306",
            "telephone_number": "214-946-4397",
            "fax_number": "214-946-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "CAROLYN",
        "middle_name": "JILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K8548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104934803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uta Cartage LLC
• Queeneth Uwandu, MD
• Winifred Uzoigwe
• Allan Chad Van Horn, M.D.
• Brianna Vandenbroader
• Kochuparampil Thomas Varghese, MD
• Paloma Vela, COTA
• Rogelio Manuel Velazquez, LPC
• Srividya Venkataraman, MD
• Jorden Mory Venturina, RN, BSN

• Diagnostic Radiology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.