Individual provider Active NPI

Carlos Alexis Llanes, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Richmond, VA
National Provider Identifier
1679156384
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
0101288236 Issued in VA
Practice address
501 N 2ND St
Richmond, VA 23219-1321
Phone
(804) 628-6777
Fax
(804) 638-6768
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 081411 CT
Addiction Medicine (Family Medicine) Physician 207QA0401X 1019289 MA
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 0101288236 VA Primary

Addresses

Primary practice location

501 N 2ND St
Richmond, VA 23219-1321

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

1250 Silver St
Middletown, CT 06457-3946
Phone (860) 346-0300

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 628-6777

Other practice location 3

1308 Sherwood Ave
Richmond, VA 23220-1210
Phone (804) 828-3129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204000390 CT Practitioner - Addiction MedicinePractitioner - Family Practice 3870996416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 Silver St
Middletown, CT 06457-3946

1290 Silas Deane Hwy
Wethersfield, CT 06109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081411CTMDAddiction Medicine (Family Medicine) Physician
1019289MAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rushford Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Virginia Commonwealth University Health System Authority PastSince Jul 2, 2026 Accepting new patients
MCV Associated Physicians Family Medicine PastSince Sep 28, 2021 Accepting new patients

Locations

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

1250 Silver St
Middletown, CT 06457
Phone (860) 346-0300

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1679156384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 2ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191321",
            "telephone_number": "804-628-6777",
            "fax_number": "804-638-6768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Silver St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573946",
            "country_code": "US",
            "telephone_number": "860-346-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-628-6777",
            "fax_number": "804-628-6768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 Sherwood Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232201210",
            "country_code": "US",
            "telephone_number": "804-828-3129",
            "fax_number": "804-628-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLANES",
        "first_name": "CARLOS",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CT",
            "license": "081411",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "1019289",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101288236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.