Todd Phillip Decarlis, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2013003532 Issued in MO

Practice address

2900 S National Ave
Springfield, MO 65804-3634

Phone

(417) 885-3888

Fax

(417) 881-7638

NPI assigned

Feb 1, 2013

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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.

• Dignity Health

  • Oncology Clinic/Center
  • Redding, CA
  • NPI 1336588870
  Medicare reassignment
• Dignity Health

  • Multi-Specialty Clinic/Center
  • Red Bluff, CA
  • NPI 1134687734
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Dignity Health

  • Rural Health Clinic/Center
  • Weed, CA
  • NPI 1255609699
  NPD (past)
• Dignity Health

  • Skilled Nursing Facility
  • Mount Shasta, CA
  • NPI 1376535344
  NPD (past)
• Dignity Health

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1508341397
  NPD (past)
• Dignity Health

  • Rural Health Clinic/Center
  • Mount Shasta, CA
  • NPI 1568799500
  NPD (past)

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1598004152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4024",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084024",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043634",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLIS",
        "first_name": "TODD",
        "middle_name": "PHILLIP",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2013003532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Deatz, MS, LPC, CSAT-A
• Kailey Jean Deberg, DDS
• Deborah K Steinmann, PSYD, LLC
• Joe Debrah, MD
• Phillip S Decarlis, HIS
• Shelby Wayne Deckard, MD
• Cameron Dean Deckett
• Alexa Declue, ATC
• Sara Elizabeth Dee, MA, LPC
• Ronald Coleman Dees, ACNPC-AG

• Surgical Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.