Carlos A. Alarcon, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Glen Burnie, MD
NPI 1336108992 · NPPES record last updated Oct 9, 2017
Key facts
- NPI
- 1336108992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0020867 (MD)
- Practice address
- 325 Hospital Dr Ste 209
Glen Burnie, MD 21061-5807 - Phone
- (410) 766-5656
- Fax
- (410) 761-1183
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000074 | MD | Practitioner - Obstetrics/Gynecology | 4082631510 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37793 | CA | MD | Obstetrics & Gynecology Physician |
| D0020867 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| DRS Accinelli Ceccarelli Alarcon PA | Past | Accepting new patients |
Interoperability endpoints
- calarcon20055@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A37793 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | D0020867 | MD | Yes |
Addresses
Primary practice location
325 Hospital Dr Ste 209
Glen Burnie, MD 21061-5807
Mailing address
325 Hospital Dr Ste 209
Glen Burnie, MD 21061-5807
Phone (410) 766-5656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187931600 | Medicaid | MD | |
| 911541200 | Medicaid | MD |
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All providers in Glen Burnie, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.