Diego H. Decarvalho, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2010 Issued in NE

Practice address

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Phone

(719) 526-8568

Fax

(719) 526-4903

NPI assigned

Jun 28, 2017

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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 Osteopathy

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1447771613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-8568",
            "fax_number": "719-526-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-8568",
            "fax_number": "719-526-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARVALHO",
        "first_name": "DIEGO",
        "middle_name": "H.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonean Davis-Carthron
• Elizabeth M Davis, MD
• Javonte Davis, LMSW
• Kevin S Davis, M.D.
• Carri Lynn Decamp
• Carmen Decker, APRN, BC
• Skylar James Dehaan, MD
• Christopher R Deiulio, LICSW
• Zarene Dekraai, MA, LPC, CACIII
• Ana Gloria Delgado-Bryant, PHARM.D.

• Internal Medicine Physician in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.