Active NPI
Carlos Eduardo Drago Ludowieg, M.D.
- Cardiovascular Disease Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 81127
- Practice address
- 425 W 3Rd Ave Ste 600
Albany, GA 31701-1961 - Phone
- (229) 312-1022
- Fax
- (229) 436-6946
- NPI assigned
- Aug 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 729-L | MS | |
| Cardiovascular Disease Physician | 207RC0000X | 81127 | GA | Primary |
Addresses
Primary practice location
425 W 3Rd Ave Ste 600
Albany, GA 31701-1961
Mailing address
425 W 3Rd Ave Ste 600
Albany, GA 31701-1961
Phone (229) 312-1022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01452045 | Other | KY | RR MEDICARE |
| 7100358980 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 W 3Rd Ave
Suite 600
Albany, GA 31701-1961
Phone (229) 431-1022
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 729-L | MS | MD | Internal Medicine Physician |
| 81127 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
425 W 3rd Ave
Ste 600
Albany, GA 31701
Phone (229) 431-1022
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
Interoperability endpoints
- carlos.drago.ludowieg.1@8478.direct.athenahealth.com
- carlos.drago@phoebehealth.gadirect.net
Organizations & group practices 3
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
-
- Critical Access Hospital
- Sylvester, GA
- NPI 1639157431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1265688824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 3RD AVE STE 600",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011961",
"telephone_number": "229-312-1022",
"fax_number": "229-436-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 3RD AVE STE 600",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011961",
"telephone_number": "229-312-1022",
"fax_number": "229-436-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGO LUDOWIEG",
"first_name": "CARLOS",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "729-L",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "81127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01452045",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100358980",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.