Carlos Andres Vizcarra PA, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 93719 Issued in FL

Practice address

13000 US Highway 1
Suite 4
Sebastian, FL 32958-3773

Phone

(772) 589-9188

Fax

(772) 589-9187

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carlos a Vizcarra MD PA 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Stuart, FL, CCN 683116
• Mederi Caretenders Home health agency, Vero Beach, FL, CCN 107036
• Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
• Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
• Wuesthoff Health System Home Health Home health agency, Viera, FL, CCN 107217
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carlos a Vizcarra MD PA

  • Internal Medicine Physician
  • Sebastian, FL
  • NPI 1437248754

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Chandra, Gayden, Patel and Associates

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1639238793

  Internal Medicine

  NPD (past)

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

• Brevard Hma Home Health, LLC

  • Home Health Agency
  • Viera, FL
  • NPI 1366409153
  Care Compare affiliation
• Concierge Home Care of Port St Lucie LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1184222549
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988

  Hospital

  Care Compare affiliation
• Mederi Caretenders VS of SE FL, LLC

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1689855496
  Care Compare affiliation
• Ohsrh, LLC

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307

  Hospital

  Care Compare affiliation
• Saving Lives Home Health Agency, LLC

  • Home Health Agency
  • Stuart, FL
  • NPI 1710246780
  Care Compare affiliation
• Visiting Nurse Association of Indian River County, Inc.

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1306843768
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1891729752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 US HIGHWAY 1",
            "address_2": "SUITE 4",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583773",
            "telephone_number": "772-589-9188",
            "fax_number": "772-589-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 US HIGHWAY 1",
            "address_2": "SUITE 4",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583773",
            "telephone_number": "772-589-9188",
            "fax_number": "772-589-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRA PA",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 93719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "7739516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VC Management
• Michael A. Venazio, MD
• Vero Orthopaedics II PA
• Versatile Home Health LLC
• Vetas We Care LLC
• Thang Vu, PHARMD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co

• All providers in Sebastian, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.

Verify at the official NPI Registry.