Carlos Adriel Irizarry, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

06856R Issued in LA

Practice address

2 Medical Plaza
Minden, LA 71055

Phone

(318) 377-8400

Fax

(318) 377-8641

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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.

• Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
  • NPI 1497986764
  Medicare reassignment Care Compare group NPD Family Medicine, LA
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Haughton, LA
  • NPI 1699392589
  Care Compare group NPD Family Medicine
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1720360795
  Care Compare group
• Minden Physician Practices, LLC

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1699834473
  Care Compare group

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

• CLHG - Minden, LLC

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation Hospital
• Hand in Hand Hospice Care LLC

  • Community Based Hospice Care Agency
  • Minden, LA
  • NPI 1659913424
  Care Compare affiliation Hospice

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hand in Hand Hospice Care LLC

  • Community Based Hospice Care Agency
  • Minden, LA
  • NPI 1659913424
  CMS ownership W-2 Managing Employee

Specialty

Family Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine Associates of Minden, LLC 12 clinicians

Minden Physician Practices LLC 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hand in Hand Hospice Care, LLC Hospice, Minden, LA, CCN 191691
• Minden Medical Center Hospital, Minden, LA, CCN 190144

Medicare fee-for-service enrollment

Enrolled in LA

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.

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: minciriza@yourcarecommunity.org
• Direct secure messaging: carlos.irizarry.1@3681.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2007.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1104971126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-377-8400",
            "fax_number": "318-377-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "71055",
            "telephone_number": "318-377-8400",
            "fax_number": "318-377-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "CARLOS",
        "middle_name": "ADRIEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "06856R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928275",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latosha Hudson-McDaniel
• Beverly Hulbin, LPC
• Hulin Urgent Care Services LLC
• Stephanie Gills Humphrey, NP
• Irizarry Family Practice, LLC
• Kathryn Ann Irizarry, M.D.
• William Douglas James, D.P.T.
• Johnny L Johnson
• Morgan Leanne Johnson, PHARMD
• Vondrick Jamal Johnson, NEMT

• All providers in Minden, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.