CARLOS ALFREDO MEDINA M.D.
NPI 1972554954
Pediatrics - Pediatric Pulmonology in Frisco, TX

Q: What is Carlos Medina's NPI number?

The NPI number for Carlos Medina is 1972554954. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Carlos Medina's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Medina was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 13, 2006PECOS Enrolled

8501 WADE BLVD, BLDG. X, SUITE 1020, FRISCO, TX 75034(972) 668-5864(972) 668-5825 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Carlos Alfredo Medina M.d. NPPES

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

CARLOS ALFREDO MEDINA M.D. (NPI 1972554954) is an individual pediatric pulmonology provider in Frisco, Texas, licensed in Texas (L8430) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972554954

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameCARLOS ALFREDO MEDINACredential: M.D.

Location Address8501 WADE BLVD, BLDG. X, SUITE 1020Frisco, TX 75034-5894

Mailing Address8501 Wade Blvd, Bldg. X, Suite 1020Frisco, TX 75034-5894 · (972) 668-5864 · Fax (972) 668-5825

Phone(972) 668-5864

Fax(972) 668-5825

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateJanuary 21, 2016

✔ NPI 1972554954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in TX · L8430

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatricsTaxonomy 208000000X · License L8430 (TX)

8501 WADE BLVD, Frisco, TX 75034

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Other Identifiers 5

Other8U3552TX · Blue Cross Blue Shield

Medicaid168602402TX

Medicare UPINI16888TX

Medicare PIN8C2651TX

Medicaid168602401TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Alfredo Medina 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 Carlos Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.

21 mi

Ophthalmology

2201 WESTGATE PLAZA
Grapevine, TX 76051

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Health Care PLLC
511 clinicians in this Medicare group

NPI 1164588596 (817) 410-2030

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 6

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

MEGAN SARAH EDWARDS FNP

Nurse Practitioner (Family)

8501 WADE BLVD, 310
FRISCO, TX 75034

Denton County (972) 427-3570

PEDIATRIC PULMONARY ASSOC. OF N. TEXAS

Pediatrics (Pediatric Pulmonology)

8501 WADE BLVD, BLDG X SUITE 1020
FRISCO, TX 75034

Denton County (972) 566-5864

PEDIATRIC PULMONARY ASSOC. OF N. TEXAS

Specialist

8501 WADE BLVD, BLDG X, SUITE 1020
FRISCO, TX 75034

Denton County (972) 566-5864

DR. JOSE FERNANDO MANDUJANO M.D.

Pediatrics (Pediatric Pulmonology)

8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034

Denton County (972) 668-5864

SOUTHWEST IMAGING AND INTERVENTIONAL SPECILASITS

Radiology (Diagnostic Radiology)

8501 WADE BLVD
FRISCO, TX 75034

Denton County (214) 618-3420

RICHARD B. SILVER M.D.

Specialist

8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034

Denton County (972) 668-5864

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 Medina's NPI number?

The NPI number for Carlos Medina is 1972554954. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Carlos Medina located?

Carlos Medina practices at 8501 Wade Blvd Bldg. X, Suite 1020, Frisco, TX 75034. The listed phone number is (972) 668-5864.

What is Carlos Medina's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Carlos Medina enrolled in Medicare?

Yes. Carlos Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Medina reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Grapevine, 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 Carlos Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Medina 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 Medina 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 Carlos Medina was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.