Carlos Ernesto Nolasco Morales, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-138431 Issued in IL

Practice address

2317 S Bates Ave
Springfield, IL 62704-4337

Phone

(866) 477-7472

Fax

(217) 717-2268

NPI assigned

Jul 19, 2012

Last updated

Dec 2, 2020By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carlos.nolasco.morales.2@21658.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21658/brand/1/csg/1/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.

• Nolasco Medical Group, PLLC

  • Internal Medicine Physician
  • Springfield, IL
  • NPI 1184235905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1235484866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 S BATES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044337",
            "telephone_number": "866-477-7472",
            "fax_number": "217-717-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 S BATES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044337",
            "telephone_number": "866-477-7472",
            "fax_number": "217-717-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLASCO MORALES",
        "first_name": "CARLOS",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "IL",
            "license": "036138431",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-138431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138431",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400698494",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gideon Nkrumah, CRNA
• Lechi Nkwocha, APRN, DNP, CNP
• Wayne C Noelke, CRNA
• Noil Medical LLC
• Nolasco Medical Group, PLLC
• Christopher John Norbet, MD
• Linda J Nordeman, M.D.
• Robert Nordstrom, MD
• Norman Soler, M.D. (Springfield Diabetes and Endocrine Center)
• Gaye Ann Norman, RPH

• Internal Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.
• 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.