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DR. THEODORE JOHN CARLSON M.D.
NPI 1295784932
Pediatrics - Pediatric Cardiology in Dallas, TX

Active since May 09, 2006PECOS Enrolled
8210 WALNUT HILL LANE, SUITE 208, DALLAS, TX 75231(214) 363-0000(214) 363-0713 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theodore John Carlson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE JOHN CARLSON M.D. (NPI 1295784932) is an individual pediatric cardiology provider in Dallas, Texas, licensed in Texas (G4893) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295784932
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. THEODORE JOHN CARLSONCredential: M.D.
Location Address8210 WALNUT HILL LANE, SUITE 208Dallas, TX 75231
Mailing Address8210 Walnut Hill Lane, Suite 208Dallas, TX 75231 · (214) 363-0000 · Fax (214) 363-0713
Phone(214) 363-0000
Fax(214) 363-0713
Sole ProprietorYes
Enumeration DateMay 9, 2006
Last NPPES UpdateNovember 6, 2012
✔ NPI 1295784932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · G4893
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
8210 WALNUT HILL LANE, Dallas, TX 75231
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore John Carlson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Magella Medical Associates Billing, Inc.
173 mi
Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
NPI 1083631071 (512) 341-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEB S. MIERS M.D., P.A
Internal Medicine (Geriatric Medicine)
8210 WALNUT HILL LANE, 812
DALLAS, TX 75231
Dallas County (214) 696-1118
SUNNY ESQUENAZI FNP-C
Nurse Practitioner (Family)
8210 WALNUT HILL LANE, SUITE 230
DALLAS, TX 75231
Dallas County (972) 284-7000
GARY G. DECKELBOIM, M.D. P.A.
Ophthalmology
8210 WALNUT HILL LANE, SUITE 100 LB-5
DALLAS, TX 75231
Dallas County (214) 369-8478
JULYE NESBITT CAREW, MD, PA
Internal Medicine (Pulmonary Disease)
8210 WALNUT HILL LANE, SUITE 314
DALLAS, TX 75231
Dallas County (214) 363-8447
DR. MARIA ANN TURNAGE M.D.
Physical Medicine & Rehabilitation
8210 WALNUT HILL LANE, STE 300, LB 11
DALLAS, TX 75231
Dallas County (214) 750-1207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Carlson's NPI number?

The NPI number for Theodore Carlson is 1295784932. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Theodore Carlson located?

Theodore Carlson practices at 8210 Walnut Hill Lane Suite 208, Dallas, TX 75231. The listed phone number is (214) 363-0000.

What is Theodore Carlson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Theodore Carlson enrolled in Medicare?

Yes. Theodore Carlson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Carlson reassigns Medicare benefits to Magella Medical Associates Billing, Inc. (Round Rock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Carlson accept?

Health plans from Moda Health Plan, Inc. and Oscar Insurance Company list Theodore Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Carlson was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.