ADAIR DEBERRY-CARLISLE D.O. – NPI #1730110651
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

ADAIR DEBERRY-CARLISLE is a surgeon located in TYLER, TX. NPPES has assigned the NPI number 1730110651 to ADAIR DEBERRY-CARLISLE on July 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Jun 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADAIR DEBERRY-CARLISLE below.

NPI Profile for
ADAIR DEBERRY-CARLISLE

NPI Number
1730110651
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ADAIR DEBERRY-CARLISLE
Credentials
D.O.
Primary location
630 S FLEISHEL AVE
TYLER, TX 75701-2041
Phone: (903) 606-5560 Fax:
5 Other location(s):
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 779-3366
2500 Bellevue Medical Center Dr
Bellevue, NE 68123
Phone: (402) 763-3410
4007 James Casey St
Suite B-140
Austin, TX 78745-3369
Phone: (737) 202-3871
2701 Hospital Dr
Victoria, TX 77901-5748
Phone: (361) 582-5771
Fax: (361) 582-5745
700 S Park St
Madison, WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 260-2976
Mailing address
988102 NEBRASKA MEDICAL CENTER
OMAHA, NE 68198-8102
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADAIR DEBERRY-CARLISLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSTXTX8AN626
otherMEDICARE RAIL ROADTXP02531927
medicaidOK200908280A
medicaidTX197530202
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
NE 1974
2086S0127X
- Surgery / Trauma Surgery
NE 1974

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
700 S PARK ST,
MADISON, WI 77025-1669

Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
700 S PARK ST,
MADISON, WI 77025-1669

Additional Information

Education
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED - Graduated 2003
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ADAIR DEBERRY-CARLISLE is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTH SUBURBAN MEDICAL CENTER
      9191 GRANT ST
      THORNTON, CO 80229
    • NS/LIJ HS SOUTHSIDE HOSPITAL
      301 EAST MAIN STREET
      BAY SHORE, NY 11706
    • SSM HEALTH ST MARY'S HOSPITAL - MADISON
      700 SOUTH PARK ST
      MADISON, WI 53715

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.