Individual provider Active NPI

Carlos F. Navarro, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1801802152
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0837 Issued in TX
Practice address
706 W Ben White Blvd BLDG a
Ste 100
Austin, TX 78704-7034
Phone
(512) 442-1996
Fax
(512) 441-1093
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0837 TX Primary

Addresses

Primary practice location

706 W Ben White Blvd BLDG a
Ste 100
Austin, TX 78704-7034

Mailing address

706 W Ben White Blvd BLDG a
Ste 100
Austin, TX 78704-7034
Phone (512) 442-1996

Other identifiers 4

IdentifierTypeStateIssuer
174347802MedicaidTX
174347803MedicaidTX
TXB155452OtherTXWELLMED PTAN
174347801MedicaidTX

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
I20050627001485 TX Practitioner - Family Practice 5193760395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1750 Round Rock Ave
Suite 100
Round Rock, TX 78681-4215
Phone (512) 388-9495

2700 W Pecan St
Suite 102
Pflugerville, TX 78660-3069
Phone (512) 421-3750

4500 Williams Drive
285 Wellmed at Georgetown
Georgetown, TX 78633-1339
Phone (512) 869-4800

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0837TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jul 2, 2012 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jul 2, 2012 Accepting new patients

Locations

706 W Ben White Blvd
Ste A
Austin, TX 78704
Phone (512) 441-5100

706 W Ben White Blvd
Ste A100
Austin, TX 78704
Phone (512) 442-1996

1320 Art Dilly Dr
Apt 2136
Austin, TX 78702
Phone (512) 474-6836

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: carlos.navarro@wellmed.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1801802152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W BEN WHITE BLVD BLDG A",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047034",
            "telephone_number": "512-442-1996",
            "fax_number": "512-441-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W BEN WHITE BLVD BLDG A",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047034",
            "telephone_number": "512-442-1996",
            "fax_number": "512-441-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "CARLOS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174347802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174347803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "TXB155452",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174347801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.