Active NPI
Carmelita Guinto Prieto Dejesus, MD
- Internal Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21912
- Practice address
- 470 Taylor Rd Ste 310
Montgomery, AL 36117-7130 - Phone
- (334) 747-4322
- Fax
- (334) 747-4321
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21912 | AL | Primary |
Addresses
Primary practice location
470 Taylor Rd Ste 310
Montgomery, AL 36117-7130
Mailing address
301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203211 | Medicaid | AL | |
| 10211I3113 | Other | AL | MEDICARE |
| 511-94769 | Other | AL | BCBS OF AL |
| P01919334 | Other | AL | RAILROAD MEDICARE |
| H18394 | Other | AL | VIVA HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
470 Taylor Rd
Suite 310
Montgomery, AL 36117-7130
Phone (334) 747-4322
Hospital & facility affiliations
- Centerwell Home Health
- Ivy Creek Home Health of Elmore
- Amedisys Home Health of Montgomery
- Baptist Medical Center East
- Baptist Medical Center South
- Prattville Baptist Hospital
- Elmore Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 64.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21912 | AL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Wetumpka Hospitalists, P.C. | Current | Accepting new patients | |
| The Health Care Authority for Baptist Health an Affiliate of Uabhs | Past | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Internal Medicine | Past | Accepting new patients |
| Central Alabama Internal Medicine Associates PA | Internal Medicine | Past | Accepting new patients |
Locations
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
4371 Narrow Lane Rd
Ste 100
Montgomery, AL 36116
Phone (334) 613-3680
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
470 Taylor Rd
Ste 310
Montgomery, AL 36117
Phone (334) 244-4322
4250 Carmichael Ct N
Montgomery, AL 36106
Phone (334) 593-9091
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2055 E South Blvd
Ste 202
Montgomery, AL 36116
Phone (205) 366-1605
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
74186 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 478-3570
Interoperability endpoints
- carmelita.prietodejesus@direct.baptistfirst.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Hospitalist Physician
- Wetumpka, AL
- NPI 1235327503
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1376603274
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montgomery, AL
- NPI 1174581474
-
- Home Health Agency
- Prattville, AL
- NPI 1134158843
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- Home Health Agency
- Wetumpka, AL
- NPI 1255533642
-
- General Acute Care Hospital
- Wetumpka, AL
- NPI 1588795942
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1295800654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BROWN SPRINGS RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177005",
"telephone_number": "334-747-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 TAYLOR RD STE 310",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177130",
"telephone_number": "334-747-4322",
"fax_number": "334-747-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIETO DEJESUS",
"first_name": "CARMELITA",
"middle_name": "GUINTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "21912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203211",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "10211I3113",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-94769",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01919334",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA HEALTH",
"identifier": "H18394",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.