Individual provider Active NPI

Carlos Andres Avila Molina, MD

  • Internal Medicine Physician
  • Parkville, MD
National Provider Identifier
1114597341
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0100418 Issued in MD
Practice address
8901 Clement Ave
Parkville, MD 21234-2603
Phone
(410) 661-4670
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X D0100418 MD Primary

Addresses

Primary practice location

8901 Clement Ave
Parkville, MD 21234-2603

Mailing address

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Other practice location 1

206 2nd St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240727000516 MD Practitioner - Internal Medicine 7911443809 Reassigns benefits to 1 organization
I20240729002183 DC Practitioner - Internal Medicine 7911443809 Reassigns benefits to 1 organization
I20250917000955 MA Practitioner - Internal Medicine 7911443809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians
Maryland Medical First PAGroup PAC ID 1850329715, 26 clinicians

Practice addresses (Care Compare)

575 Beech St
Suite 401
Holyoke, MA 01040-2223
Phone (413) 534-5135

8901 Clement Ave
Parkville, MD 21234-2603
Phone (410) 661-4670

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Maryland Medical First P.a. Internal Medicine CurrentSince Jul 2, 2024 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Canton Harbor Healthcare Center, Inc Past Accepting new patients
Gwynnfalls MD Opco Past Accepting new patients
The Grand Lodge of Ancient Free and Accepted Masons of Maryland Past Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Ste 404
Holyoke, MA 01040
Phone (413) 534-2870

575 Beech St
Ste 401
Holyoke, MA 01040
Phone (413) 534-5135

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

Interoperability endpoints

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

Organizations & group practices 7

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 5

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1114597341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 CLEMENT AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342603",
            "telephone_number": "410-661-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CLEMENT AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342603",
            "telephone_number": "410-661-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 2nd St E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081042",
            "country_code": "US",
            "telephone_number": "941-746-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA MOLINA",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.