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
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

Owned or controlled facilities with NPI records 2

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

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 Hospital 128 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Mahaska Health Partnership Hospital, Oskaloosa, IA, CCN 161379
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Mahaska Health Partnership Nursing home, CCN 16Z379

Merit-based Incentive Payment System (MIPS)

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

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

All facility ownership & control disclosures 1

Medicare enrollment files

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

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 CurrentSince Oct 1, 2024 Accepting new patients
Mahaska County Hospital Current 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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
G68370OtherCAMEDICAL LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G68370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.