Active NPI
Diego Enrique Carmona
- Medical Physician Assistant
- Naples, FL
National Provider Identifier
1295011070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9106216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1194 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Physician Assistant | Current | 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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
Physician Assistant
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1174991632
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, MS
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.