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DR. CARLOS G FASOLA M.D.
NPI 1740463090
Transplant Surgery in Dallas, TX

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
1411 N BECKLEY AVE, PAV III STE#268, DALLAS, TX 75203(214) 947-4400(214) 947-4404 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlos G Fasola M.d. NPPES

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

DR. CARLOS G FASOLA M.D. (NPI 1740463090) is an individual transplant surgery provider in Dallas, Texas, licensed in Texas (K7283) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Dallas Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1740463090
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. CARLOS G FASOLACredential: M.D.
Location Address1411 N BECKLEY AVE, PAV III STE#268Dallas, TX 75203-1259
Mailing Address1411 N Beckley Ave, Pav Iii Ste#268Dallas, TX 75203-1259 · (214) 947-4400 · Fax (214) 947-4404
Phone(214) 947-4400
Fax(214) 947-4404
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateDecember 10, 2007
Last NPPES UpdateDecember 4, 2012
✔ NPI 1740463090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in TX · K7283
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
1411 N BECKLEY AVE, Dallas, TX 75203
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Other Identifiers 5

Medicaid040635703TX
Medicaid040635704TX
Medicare PINTXB163288TX
Medicare PINTXB163286TX
Other8DL222TX · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Carlos G Fasola M.d. 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 ID6507858156
PECOS Enrollment IDI20090827000344
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.

Hospital Affiliations CMS Care Compare

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

Methodist Dallas Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450051
Location1441 North Beckley AvenueDallas, TX 75203 · Dallas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KATHLEEN UBINA
Pharmacist (Ambulatory Care)
1411 N BECKLEY AVE
DALLAS, TX 75203
Dallas County (214) 947-4699
METHODIST TRANSPLANT PHYSICIANS
Transplant Surgery
1411 N BECKLEY AVE, PAV III STE#268
DALLAS, TX 75203
Dallas County (214) 947-4400
DR. DANIEL D. WITHEILER M.D.
Dermatology (MOHS-Micrographic Surgery)
1411 N BECKLEY AVE, PAVILION III, SUITE 470
DALLAS, TX 75203
Dallas County (214) 941-7546
KIMBERLY D JOHNSON, DO, PA
Internal Medicine
1411 N BECKLEY AVE, PAVILION III, STE. 352
DALLAS, TX 75203
Dallas County (214) 943-2249
MRS. KAREN ANN WORKMAN NP
Nurse Practitioner (Family)
1411 N BECKLEY AVE, STE 152
DALLAS, TX 75203
Dallas County (214) 948-7700
MS. VANESSA LYNN BLUDAU RN, FNP-C
Nurse Practitioner (Family)
1411 N BECKLEY AVE, PAV III STE#152
DALLAS, TX 75203
Dallas County (214) 948-2076
MEDHEALTH
Durable Medical Equipment & Medical Supplies
1411 N BECKLEY AVE, PAV III STE#152
DALLAS, TX 75203
Dallas County (214) 948-2076
PINNACLE ANESTHESIA CONSULTANTS, PLLC
Anesthesiology (Pain Medicine)
1411 N BECKLEY AVE, PAV. III, SUITE 152
DALLAS, TX 75203
Dallas County (214) 948-7700

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 Carlos Fasola's NPI number?

The NPI number for Carlos Fasola is 1740463090. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Carlos Fasola located?

Carlos Fasola practices at 1411 N Beckley Ave Pav III Ste#268, Dallas, TX 75203. The listed phone number is (214) 947-4400.

What is Carlos Fasola's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Carlos Fasola enrolled in Medicare?

Yes. Carlos Fasola 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.

What insurance does Carlos Fasola accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Carlos Fasola 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.

Is Carlos Fasola affiliated with any hospitals?

According to CMS data, Carlos Fasola is affiliated with Methodist Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Fasola was last updated on December 4, 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.