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AMY CARRILLO ALI PA
NPI 1689221053
Physician Assistant - Surgical in Arlington, TX

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
90.13/100
CMS Quality Rating
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012(817) 801-1503(817) 801-1508 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Carrillo Ali Pa NPPES

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

AMY CARRILLO ALI PA (NPI 1689221053) is an individual surgical provider in Arlington, Texas, licensed in Texas (PA12983) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689221053
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMY CARRILLO ALICredential: PA
Location Address902 W RANDOL MILL RD STE 120Arlington, TX 76012-2579
Mailing Address902 W Randol Mill Rd Ste 120Arlington, TX 76012-2579 · (817) 801-1503 · Fax (817) 801-1508
Phone(817) 801-1503
Fax(817) 801-1508
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 21, 2019
✔ NPI 1689221053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA12983
902 W RANDOL MILL RD STE 120, Arlington, TX 76012
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Carrillo Ali Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012247810
PECOS Enrollment IDI20190920001669
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims1,200 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers45 claims7,800 services$1.70 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers15 claims60 services$1.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

VENKAT RAGHAV RAPURI M.D.
Orthopaedic Surgery
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
MAREK JASZCZUK PA-C
Physician Assistant
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
DREW NATHANIEL STAL M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
GARY BREGMAN PA
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
VIBIN THOMAS KURIAKOSE PA
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
CRAIG M PEEK PA-C
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
VANESSA J SCOTT PA-C
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
MARVIN RIVERA
Physician Assistant
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503

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 Amy Carrillo Ali's NPI number?

The NPI number for Amy Carrillo Ali is 1689221053. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Amy Carrillo Ali located?

Amy Carrillo Ali practices at 902 W Randol Mill Rd Ste 120, Arlington, TX 76012. The listed phone number is (817) 801-1503.

What is Amy Carrillo Ali's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amy Carrillo Ali enrolled in Medicare?

Yes. Amy Carrillo Ali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amy Carrillo Ali affiliated with any hospitals?

According to CMS data, Amy Carrillo Ali is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Amy Carrillo Ali was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.