Active NPI
Adolfo Carvajal, M.D.
- Family Medicine Physician
- Irving, TX
National Provider Identifier
1851450324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J8947
- Practice address
- 4545 Fuller Dr
Suite 325
Irving, TX 75038-6521 - Phone
- (972) 870-5511
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J8947 | TX | Primary |
Addresses
Primary practice location
4545 Fuller Dr
Suite 325
Irving, TX 75038-6521
Mailing address
4545 Fuller Dr
Suite 325
Irving, TX 75038-6521
Phone (972) 870-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8947 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Family Medicine | Past | Accepting new patients |
| City of Austin | Past | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba City of Austin Office of Chief Medical Officer
- Emergency Medical Services (Emergency Medicine) Physician
- Austin, TX
- NPI 1083245070
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1851450324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 FULLER DR",
"address_2": "SUITE 325",
"city": "IRVING",
"state": "TX",
"postal_code": "750386521",
"telephone_number": "972-870-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 FULLER DR",
"address_2": "SUITE 325",
"city": "IRVING",
"state": "TX",
"postal_code": "750386521",
"telephone_number": "972-870-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVAJAL",
"first_name": "ADOLFO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J8947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Eugene Vincent Carsia, DO
- Carter Healthcare of North Texas, LLC (Carter Healthcare)
- Carter Healthcare Pharmacy and DME of Oklahoma, LLC (Carter Healthcare DME of Texas)
- Ashlee Carter, DC, MS
- Byron Joe Nathan Carter Jr.
- Cary P. Dan, P.C. (Chiropractic of Middle Irving)
- Cas Medical Supply (Transafrique Shipping)
- Jennifer Kathleen Casabonne, CF-SLP
- Casey Nguyen MD PA
- Caitlin Cashion
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.