Ricardo Cristobal, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M9939 Issued in TX

Practice address

6320 Southwest Blvd
Suite #200
Fort Worth, TX 76109

Phone

(817) 766-5500

Fax

(817) 766-5501

NPI assigned

Jul 3, 2008

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Otolaryngology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
• Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
• Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Merit-based Incentive Payment System (MIPS)

Final score

92.51 of 100Reported as apm

Quality

85.62

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcristobal@direct.uspi.com
• Direct secure messaging: ricardo.cristobal.p1@direct.thc.nextgenshare.com

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.

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  Medicare reassignment Care Compare group NPD
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352

  Otolaryngology

  NPD

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

• Baylor All Saints Medical Center

  dba Baylor Scott & White All Saints Medical Center - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1669472387
  Care Compare affiliation
• Fort Worth Surgicare Partners LTD

  dba Baylor Surgical Hospital at Fort Worth Outpatient Center

  • Special Hospital
  • Fort Worth, TX
  • NPI 1568883775
  Care Compare affiliation
• Fort Worth Surgicare Partners, LTD.

  dba Baylor Scott & White Surgical Hospital - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871599183
  Care Compare affiliation
• Global Rehab Fort Worth, LP

  dba Baylor Institute for Rehabilitation at Fort Worth

  • Rehabilitation Hospital
  • Fort Worth, TX
  • NPI 1396902540

  Inpatient rehabilitation facility

  Care Compare affiliation
• Granbury Hospital Corporation

  dba Lake Granbury Medical Center

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1801059514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SOUTHWEST BLVD.",
            "address_2": "SUITE #200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-766-5500",
            "fax_number": "817-766-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SOUTHWEST BLVD",
            "address_2": "SUITE #200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-766-5500",
            "fax_number": "817-766-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOBAL",
        "first_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M9939",
            "primary": true
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": "M9939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN MEDICAID",
            "identifier": "196011402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196011401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00643338",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Crisp, DPT
• Michelle Criss, AGACNP-BC
• Samuel Crist, MD
• Taylor Evan Crist
• Cristela Flores Serenity Hospice LLC (Serenity Hospice)
• Jared Criswell, M.D.
• Gay Elaine Crites, LMSW
• India Larkins Crockem, PHARM.D., RPH.
• Jeanne V Crockett, L.C.S.W.
• McKenzie Crockett

• Otolaryngology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.