Individual provider Active NPI

Diego Enrique Carmona

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1295011070
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9106216 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 436-5000
NPI assigned
Oct 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC
Physician Assistant 363A00000X PA-1194 AR
Medical Physician Assistant 363AM0700X PA9106216 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

986 16TH Ave NE
Naples, FL 34120-7474
Phone (239) 289-9470

Other practice location 1

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, AR, MS4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20111213000782 FL Practitioner - Physician Assistant 6002081478 Reassigns benefits to 7 organizations
I20230831000402 NC Practitioner - Physician Assistant 6002081478 Reassigns benefits to 1 organization
I20231229002380 AR Practitioner - Physician Assistant 6002081478 Reassigns benefits to 1 organization
I20250422001471 MS Practitioner - Physician Assistant 6002081478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1194ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1295011070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 16TH AVE NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341207474",
            "telephone_number": "239-289-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-436-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 E Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724058413",
            "country_code": "US",
            "telephone_number": "870-936-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "DIEGO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1194",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.