NPIMap

Individual provider Active NPI

Carmelita Guinto Prieto Dejesus, MD

  • Internal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1295800654
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21912 Issued in AL
Practice address
470 Taylor Rd Ste 310
Montgomery, AL 36117-7130
Phone
(334) 747-4322
Fax
(334) 747-4321
NPI assigned
Nov 21, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000140 AL Practitioner - Internal Medicine 0143285023 Reassigns benefits to 2 organizations

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

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
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

LicenseStateTypeSpecialty
21912ALMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wetumpka Hospitalists, P.C. CurrentSince Jun 21, 2011 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 1, 2017 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 1, 2017 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
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

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

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

4250 Carmichael Ct N
Montgomery, AL 36106
Phone (334) 593-9091

4371 Narrow Lane Rd
Ste 100
Montgomery, AL 36116
Phone (334) 613-3680

470 Taylor Rd
Ste 310
Montgomery, AL 36117
Phone (334) 244-4322

74186 Tallassee Hwy
Wetumpka, AL 36092
Phone (334) 478-3570

Interoperability endpoints

  • Direct secure messaging: carmelita.prietodejesus@direct.baptistfirst.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.