Charles Incognito Carino, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5315037145 Issued in MI

Practice address

5450 Fort St
Trenton, MI 48183-4601

Phone

(816) 304-1573

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS, HI, TX, AZ5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cep America, LLC

  dba Vituity

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1619332046
  Medicare reassignment NPD
• Chandler Emergency Medical Group, LLC

  dba Premier Emergency Medical Specialists

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1104871961
  Medicare reassignment NPD
• Emergency Medicine Services of KS, PA

  • Emergency Medicine Physician
  • Overland Park, KS
  • NPI 1649979451
  Medicare reassignment NPD
• Emergency Medicine Services of Mo, LLC

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1023715182
  Medicare reassignment NPD
• Midwest Division - LRHC LLC

  dba Lafayette Regional Health Center

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1639362460
  Medicare reassignment NPD
• Oahu Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1649864471
  Medicare reassignment NPD
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Texas PLLC

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1518475557
  Medicare reassignment NPD
• Revival Health Medical Group KS PA

  • General Practice Physician
  • Leawood, KS
  • NPI 1184381519
  NPD (past) Authorized official
• Revival Health Medical Group Or P.C.

  • General Practice Physician
  • Leawood, KS
  • NPI 1841957271
  NPD (past) Authorized official
• Cep America LLC

  • Emergency Medicine Physician
  • Saint Charles, MO
  • NPI 1477108892
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1033366513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W ADAMS AVE",
            "address_2": "1604",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261617",
            "telephone_number": "816-304-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601",
            "telephone_number": "816-304-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO",
        "first_name": "CHARLES",
        "middle_name": "INCOGNITO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5315037145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kari Callahan, MSN, FNP-BC
• Isabella Victoria Helen Camacho
• Carafelli Chiropractic
• Marc Anthony Carafelli, D.C.
• Nicole Cardella
• Chad Curtis Carver, D.D.S.
• Jessica Ann Casiano, RN
• Sarah Kate Castle, LLMSW
• Joanna Marie Cavanaugh, RN, BSN
• Chad C Carver DDS ,PLLC (General Dentist)

• Emergency Medicine Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.