NPIMap

Individual provider Active NPI

Carl A Constantine, M.D.

  • Internal Medicine Physician
  • Santa Paula, CA
National Provider Identifier
1669586293
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G68370 Issued in CA
Practice address
825 N 10TH St
Santa Paula, CA 93060-1309
Phone
(805) 647-0880
NPI assigned
Aug 19, 2006
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G68370 CA Primary

Addresses

Primary practice location

825 N 10TH St
Santa Paula, CA 93060-1309

Mailing address

PO Box 660640
Arcadia, CA 91066-0640
Phone (626) 447-0297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240305001110 VI Practitioner - Internal Medicine 7214824598 Reassigns benefits to 1 organization
I20240903002540 IA Practitioner - Internal MedicinePractitioner - Hospitalist 7214824598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahaska County HospitalGroup PAC ID 2769388677, shared by 6 NPIs, 128 clinicians

Practice addresses (Care Compare)

201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone (641) 676-7361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Mahaska County Hospital Current Accepting new patients
Mahaska County Hospital CurrentSince Oct 1, 2024 Accepting new patients
Myrah Keating Smith Community Health Center Past Accepting new patients

Locations

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

Interoperability endpoints

  • Direct secure messaging: cconstantine1113141@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Memorial Health SystemFillmore, CA, CCN 058608 Rural health clinic Corporate Director Jan 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1669586293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660640",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660640",
            "telephone_number": "626-447-0297",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 10TH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930601309",
            "telephone_number": "805-647-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINE",
        "first_name": "CARL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G68370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.