Active NPI
Kristina Kay Carnevale, M.D.
- Obstetrics & Gynecology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M3116
- Practice address
- 10840 Texas Health TRL
Suite 250
Fort Worth, TX 76244-6846 - Phone
- (817) 306-5630
- Fax
- (817) 306-5631
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M3116 | TX | Primary |
Addresses
Primary practice location
10840 Texas Health TRL
Suite 250
Fort Worth, TX 76244-6846
Mailing address
10840 Texas Health TRL
Suite 250
Fort Worth, TX 76244-6846
Phone (817) 750-1310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196806702 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas a & M University System, HSC, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5601 Warren Pkwy
Frisco, TX 75034-4069
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3116 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Pediatrix Medical Group of Texas Billing, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Health Huguley, Inc. | Past | Accepting new patients |
Locations
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
3500 Gaston Ave
Dallas, TX 75246
5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
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.
-
- Obstetrics & Gynecology Physician
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- NPI 1083917769
-
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- NPI 1649377359
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1932391174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10840 TEXAS HEALTH TRL",
"address_2": "SUITE 250",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446846",
"telephone_number": "817-750-1310",
"fax_number": "817-750-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10840 TEXAS HEALTH TRL",
"address_2": "SUITE 250",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446846",
"telephone_number": "817-306-5630",
"fax_number": "817-306-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEVALE",
"first_name": "KRISTINA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "M3116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196806702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.