Individual provider Active NPI

Carlos Adolfo Enamorado, MD

  • Internal Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1073585139
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD27706 Issued in PA
Practice address
4850 Leigh Ave
Fort Smith, AR 72903-6018
Phone
(479) 573-5058
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD27706 PA Primary

Addresses

Primary practice location

4850 Leigh Ave
Fort Smith, AR 72903-6018

Mailing address

4850 Leigh Ave
Fort Smith, AR 72903-6018
Phone (479) 573-5058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250730004248 AR Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7315261559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27706PAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1073585139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 LEIGH AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036018",
            "telephone_number": "479-573-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 LEIGH AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036018",
            "telephone_number": "479-573-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENAMORADO",
        "first_name": "CARLOS",
        "middle_name": "ADOLFO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD27706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.