Luis Rafael Vizcarra-Falla, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

68630 Issued in GA

Practice address

6825 Jimmy Carter Blvd
Suite 1590
Norcross, GA 30071-1228

Phone

(678) 615-2565

NPI assigned

Mar 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

State licenses

Practice roles

Locations

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.

• The Clinic for All / la Clinica de Todos, LLC

  • Primary Care Clinic/Center
  • East Point, GA
  • NPI 1053598284
  Medicare reassignment NPD
• Redmond Hospital Services LLC

  • Neurology Physician
  • Rome, GA
  • NPI 1063531416
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1497029565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7082 ROSELAKE CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341680",
            "telephone_number": "404-438-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 JIMMY CARTER BLVD",
            "address_2": "SUITE 1590",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711228",
            "telephone_number": "678-615-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRA-FALLA",
        "first_name": "LUIS",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "68630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Vincent, DDS PC GP
• Lashundra Vines
• Virtis Health, LLC
• Virtis Health, LLC
• Visiting Physician Care
• Carla Vizcarra
• Christopher Vlahos, PT, DPT
• VN Pharmacy LLLC
• Dan Thanh Ngoc Vo, PA-C
• Nhu Ai Thi Vo

• Internal Medicine Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.