Individual provider Active NPI

Luis H Carvalho, MD

  • Plastic and Reconstructive Surgery Physician
  • Toledo, OH
National Provider Identifier
1528092012
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
35-04-3030 Issued in OH
Practice address
3438 Granite Cir
Toledo, OH 43617-1160
Phone
(419) 841-2303
Fax
(419) 842-1161
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35-04-3030 OH
Plastic and Reconstructive Surgery Physician 2086S0122X 35-04-3030 OH Primary

Addresses

Primary practice location

3438 Granite Cir
Toledo, OH 43617-1160

Mailing address

3438 Granite Cir
Toledo, OH 43617-1160
Phone (419) 841-2303

Other identifiers 1

IdentifierTypeStateIssuer
0387380MedicaidOH

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)
Not enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Artisan Surgery Center Past Accepting new patients
Oaktree Surgery, Inc. Plastic Surgery Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1528092012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171160",
            "telephone_number": "419-841-2303",
            "fax_number": "419-842-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171160",
            "telephone_number": "419-841-2303",
            "fax_number": "419-842-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "LUIS",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-04-3030",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35-04-3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387380",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.