Active NPI
Jason Miller Dicarlo, MD
- Diagnostic Radiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- RTP001865
- Practice address
- 1120 15TH St
Augusta, GA 30912-0004 - Phone
- (706) 721-3214
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | RTP001865 | GA | Primary |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912-0004
Mailing address
4117 Mansfield PL
Martinez, GA 30907-2677
Phone (757) 235-3866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX, NV, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7130 Smoke Ranch Rd
Suite 101
Las Vegas, NV 89128-3157
Phone (866) 722-1655
96 Zinnia Dr
Covington, LA 70433-9116
Phone (866) 722-1655
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24318 | NV | MD | Pharmacist |
| RTP001865 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Corpus Christi, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Past | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Hartford PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192
1460 E Valley Rd
Ste 102
Basalt, CO 81621
Phone (970) 544-1260
234 E Cody Ln
Basalt, CO 81621
Phone (970) 544-1250
377 Sylvan Lake Rd
Eagle, CO 81631
Phone (970) 328-1650
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
504 21st St
Glenwood Springs, CO 81601
Phone (970) 384-7640
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014
201 Sipprelle Dr
Parachute, CO 81635
Phone (970) 285-5731
501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100
2001 N Horseshoe Trl
Silt, CO 81652
Phone (970) 876-5700
410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051
4241 Vets Blvd
Ste 200
Metairie, LA 70006
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135
2825 Spohn Dr S
Corpus Christi, TX 78414
Phone (361) 991-9595
3226 S Alameda St
Corpus Christi, TX 78404
Phone (361) 888-6684
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437196979
CO, LA
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1194469221
-
dba Desert Radiology
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
LA
-
dba Desert Radiology Solutions
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
LA
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1942234893
-
dba Swedish Radia Edmonds
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sunrise Hospital and Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831301985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 MANSFIELD PL",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309072677",
"telephone_number": "757-235-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-3214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICARLO",
"first_name": "JASON",
"middle_name": "MILLER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "RTP001865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.