Active NPI
Carlos Falcon Jr., MD
- Basic Emergency Medical Technician
- West Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 3Z896
- Practice address
- 1221 S Gear Ave
West Burlington, IA 52655 - Phone
- (319) 768-3628
- Fax
- (319) 768-3633
- NPI assigned
- Nov 18, 2005
- Last updated
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 3Z896 | IA | Primary |
| Emergency Medicine Physician | 207P00000X | 32896 | IA |
Addresses
Primary practice location
1221 S Gear Ave
West Burlington, IA 52655
Mailing address
PO Box 668
West Burlington, IA 52655-0668
Phone (319) 768-3628
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0184838 | Medicaid | IA | |
| 49571 | Other | IA | BX |
| 930097506 | Other | IA | RR MC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3Z896 | IA | MD | Basic Emergency Medical Technician |
| 32896 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Emergency Medical Technician, Basic | Current | Accepting new patients |
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| Henry County Health Center Inc | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
Locations
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Organizations & group practices 4
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.
-
- General Practice Physician
- Mt Pleasant, IA
- NPI 1871177477
-
- Critical Access Hospital
- Mt Pleasant, IA
- NPI 1811571417
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
Emergency Medical Technician, Basic
-
dba Great River Home Health and Hospice
- Community Based Hospice Care Agency
- West Burlington, IA
- NPI 1053315002
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1619959277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 668",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526550668",
"telephone_number": "319-768-3628",
"fax_number": "319-768-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S GEAR AVE",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "52655",
"telephone_number": "319-768-3628",
"fax_number": "319-768-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCON",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "IA",
"license": "3Z896",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "32896",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0184838",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX",
"identifier": "49571",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "930097506",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.