DONNELL KAJAUN CARSON (PA-C) – Surgical Physician Assistant, NPI 1184902165

DONNELL KAJAUN CARSON (PA-C) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA07043 (TX). The NPI Number for DONNELL KAJAUN CARSON (PA-C) is 1184902165

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DONNELL KAJAUN CARSON (PA-C)
NPI
1184902165
Phone
(281) 440-6960
Address
PO BOX 4356
Enumeration Date
25 July 2011
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2185392900
Graduation Year
2009 (17 years ago)
PAC ID
0749454049
Group Practice PAC ID
7315019593
Professional Enrollment ID
I20111123000309
Address ID
TX770902602HO17080DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for DONNELL KAJAUN CARSON (PA-C)

  • PO BOX 4356

    DEPT. 665

    HOUSTON, TX 772104356

    Phone: (281) 440-6960

    Fax: (281) 440-6205

    Type: Mailing

  • 17270 RED OAK DR

    SUITE 200

    HOUSTON, TX 770902618

    Phone: (281) 440-6960

    Fax: (281) 440-6205

    Type: Location

  • 1010 BRIAR NET

    CONROE, TX 773011890

    Phone: (615) 294-2192

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-14 • Largest payer in this snapshot: Curonix LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Curonix LLC$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111123000309IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee1918$0
View full utilization report →

Insurance plans in this area (ZIP 77210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315019593View full group profile
NameSpecialtyState
-TX
-TX
Family PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineNC

Reviews

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Frequently asked questions

What federal number belongs to DONNELL KAJAUN CARSON (PA-C)?
The federal identifier for DONNELL KAJAUN CARSON (PA-C) is NPI 1184902165.
Does this profile mean DONNELL KAJAUN CARSON (PA-C) is currently active?
Yes — DONNELL KAJAUN CARSON (PA-C) appears active in the national provider directory.
Can you summarize DONNELL KAJAUN CARSON (PA-C)'s specialty in plain language?
Clinically, the directory lists DONNELL KAJAUN CARSON (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for DONNELL KAJAUN CARSON (PA-C)?
The page summarizes Houston, Texas for DONNELL KAJAUN CARSON (PA-C); expand the address list for detail.
What if Houston, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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