Individual provider Active NPI

Carly A Allred, MD

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1861839706
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R7375 Issued in TX
Practice address
1250 E Marshall St
Surg: General Surgery Clinic
Richmond, VA 23298-5051
Phone
(804) 828-7391
Fax
(804) 828-0191
NPI assigned
Jun 2, 2013
Last updated
Jun 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Surgery Physician 208600000X R7375 TX Primary

Addresses

Primary practice location

1250 E Marshall St
Surg: General Surgery Clinic
Richmond, VA 23298-5051

Mailing address

4007 James Casey St
Ste A220
Austin, TX 78745-3335
Phone (512) 447-4993

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
I20180712001170 TX Practitioner - General Surgery 0446492300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates of Austin, PAGroup PAC ID 5294753315, 6 clinicians

Practice addresses (Care Compare)

4007 James Casey St
Suite A220
Austin, TX 78745-3335
Phone (512) 447-4993

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Austin, P.a. Surgery CurrentSince Aug 1, 2018 Accepting new patients

Locations

1015 E 32nd St
Ste 308
Austin, TX 78705
Phone (512) 427-2500

4007 James Casey St
Ste A220
Austin, TX 78745
Phone (512) 447-4993

4316 James Casey St
Ste E-202
Austin, TX 78745

6500 N Mopac Expy
Bldg 2
Austin, TX 78731
Phone (512) 343-1878

Organizations & group practices 1

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.

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": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1861839706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 JAMES CASEY ST",
            "address_2": "STE A220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453335",
            "telephone_number": "512-447-4993",
            "fax_number": "512-472-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "SURG: GENERAL SURGERY CLINIC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-828-7391",
            "fax_number": "804-828-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "CARLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R7375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.