Carol Felisa Encarnacion, M.D., M.P.H.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD420301 Issued in PA

Practice address

764 Kennedy St
Suite 101
Meadville, PA 16335-2209

Phone

(814) 373-2195

Fax

(814) 373-2197

NPI assigned

Oct 13, 2005

Last updated

Jul 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.encarnacion.2@19587.direct.athenahealth.com
• Direct secure messaging: carol.f.encarnacion@directaddress.net

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.

• Pennsylvania Western University

  • Infectious Disease Physician
  • Clarion, PA
  • NPI 1033919097
  Medicare reassignment NPD
• Id Care and Travel Health of Northwest PA, P.C.

  • Infectious Disease Physician
  • Meadville, PA
  • NPI 1609990282
  Authorized official Same address or phone
• Primary Care Services

  • Internal Medicine Physician
  • Meadville, PA
  • NPI 1962804955
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1407844319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "address_2": "CBO",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-2923",
            "fax_number": "814-333-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 KENNEDY ST",
            "address_2": "SUITE 101",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352209",
            "telephone_number": "814-373-2195",
            "fax_number": "814-373-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "CAROL",
        "middle_name": "FELISA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD420301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "EN122227",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT BLUE",
            "identifier": "1427232",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019347910003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC NUMBER",
            "identifier": "319230",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440004052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Embassy Park Avenue, LLC (Embassy of Park Avenue)
• Diane E Emes, MD
• Linda A. Emmerich, MSW
• Susan Jayne Emminger, L.S.W.
• Empowerment With Grace LLC
• Adrien Carl Ennis, D.O.
• Phillip J Erdeljac, CRNA
• Katlin Elizabeth Erdley, RDH, PHDHP
• Erie Vamc
• Amanda Lynn Esmond

• Infectious Disease Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.