Individual provider Active NPI

Kristina Kay Carnevale, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
National Provider Identifier
1932391174
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M3116 Issued in TX
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

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
196806702MedicaidTX

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
I20081007000513 TX Practitioner - Obstetrics/Gynecology 7911075734 Reassigns benefits to 2 organizations

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
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

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

LicenseStateTypeSpecialty
M3116TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 25, 2021 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Nov 1, 2022 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.

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

Verify at the official NPI Registry.