Active NPI
Carlos G Fior, M.D.
- Internal Medicine Physician
- Decatur, IL
National Provider Identifier
1336237296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036071478
- Practice address
- 2981 N Main St
Decatur, IL 62526-3259 - Phone
- (217) 542-1293
- Fax
- (217) 877-9806
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 036071478 | IL | Primary |
Addresses
Primary practice location
2981 N Main St
Decatur, IL 62526-3259
Mailing address
2981 N Main St
Decatur, IL 62526-3259
Phone (217) 542-1293
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036071478 | Medicaid | IL | |
| 5805595 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036071478 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1336237296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2981 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625263259",
"telephone_number": "217-542-1293",
"fax_number": "217-877-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2981 N MAIN ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625263259",
"telephone_number": "217-542-1293",
"fax_number": "217-877-9806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIOR",
"first_name": "CARLOS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036071478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036071478",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5805595",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.