Individual provider Active NPI

Hector L Di Carlo, MD

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1356597785
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME102570 Issued in FL
Practice address
1321 S Andrews Ave
Fort Lauderdale, FL 33316-1837
Phone
(954) 533-1173
Fax
(954) 533-0723
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME102570 FL Primary

Addresses

Primary practice location

1321 S Andrews Ave
Fort Lauderdale, FL 33316-1837

Mailing address

1321 S Andrews Ave
Fort Lauderdale, FL 33316-1837
Phone (954) 533-1173

Other identifiers 1

IdentifierTypeStateIssuer
001124400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000041 FL Practitioner - Family Practice 3971662560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1321 S Andrews Ave
Fort Lauderdale, FL 33316-1837
Phone (954) 533-1173

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2589
Phone (954) 355-4400

Hospital & facility affiliations

  • Working Nurses Healthcare LLC Home health agency, Margate, FL, CCN 687057
  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
  • Complete Home Care of Broward County LLC Home health agency, Fort Lauderdale, FL, CCN 683107
  • Aging Paradise Inc Home health agency, Oakland Park, FL, CCN 109502
  • Trust USA Home Health LLC Home health agency, Plantation, FL, CCN 109594
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Kindred Hospital-South Florida-Ft Lauderdale Long-term care hospital, Fort Lauderdale, FL, CCN 102010
  • Broward Nursing & Rehabilitation Center Nursing home, Fort Lauderdale, FL, CCN 105083

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Outstanding Care PA CurrentSince Jun 24, 2024 Accepting new patients
Hector L Di Carlo MD PA CurrentSince May 24, 2015 Accepting new patients
Victor Toledano MD PA Past Accepting new patients

Locations

500 SE 17th St
Ste 110
Fort Lauderdale, FL 33316
Phone (954) 533-1173

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1321 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 467-1900

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broward Nursing & Rehabilitation CenterFort Lauderdale, FL, CCN 105083 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2021
Dec 11, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1356597785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161837",
            "telephone_number": "954-533-1173",
            "fax_number": "954-533-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161837",
            "telephone_number": "954-533-1173",
            "fax_number": "954-533-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI CARLO",
        "first_name": "HECTOR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001124400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.