Individual provider Active NPI

Vick Dicarlo II

  • Gastroenterology Physician
  • Decatur, AL
National Provider Identifier
1104359314
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
37659 Issued in AL
Practice address
1215 7TH St SE Ste 140
Decatur, AL 35601-3394
Phone
(256) 973-3225
Fax
(256) 301-3860
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 37659 AL Primary

Addresses

Primary practice location

1215 7TH St SE Ste 140
Decatur, AL 35601-3394

Mailing address

1215 7TH St SE Ste 140
Decatur, AL 35601-3394
Phone (256) 973-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230630000251 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 2163709106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Colon and Gastro PCGroup PAC ID 8820394026, 7 clinicians

Practice addresses (Care Compare)

1105 Eagletree Lane
Huntisville, AL 35801-6447
Phone (256) 261-2826

Hospital & facility affiliations

  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy210
Upper gastrointestinal (GI) endoscopy for acid reflux240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37659ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Colon & Gastro, PC Gastroenterology CurrentSince Aug 14, 2023 Accepting new patients
Acg Services, Inc Gastroenterology CurrentSince Aug 14, 2023 Accepting new patients

Locations

1115 Eagletree Ln SW
Huntsville, AL 35801
Phone (256) 261-2826

1105 Eagletree Ln SW
Huntsville, AL 35801
Phone (256) 261-2826

4810 Whitesport Cir SW
Ste 204
Huntsville, AL 35801
Phone (256) 265-7480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGJDAD/Endpoint/EGJDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGJDAD

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1104359314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE STE 140",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013394",
            "telephone_number": "256-973-3225",
            "fax_number": "256-301-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 7TH ST SE STE 140",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013394",
            "telephone_number": "256-973-3225",
            "fax_number": "256-301-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "VICK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "37659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.