Carlos Rodolfo Alfaraz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56134 Issued in WI

Practice address

1310 Broadway
Wisconsin Dells, WI 53965-1358

Phone

(608) 253-1171

Fax

(608) 253-8012

NPI assigned

Nov 28, 2006

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

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

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  NPD
• North Country Hospital & Health Center Inc

  dba North Country OB GYN Services

  • Obstetrics & Gynecology Physician
  • Newport, VT
  • NPI 1295868008
  NPD
• North Country Hospital & Health Center Inc

  dba North Country Primary Care Newport

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  NPD
• Huron Clinic Foundation LTD

  • Family Medicine Physician
  • Huron, SD
  • NPI 1184626962
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1891861241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651358",
            "telephone_number": "608-253-1171",
            "fax_number": "608-253-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651358",
            "telephone_number": "608-253-1171",
            "fax_number": "608-253-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARAZ",
        "first_name": "CARLOS",
        "middle_name": "RODOLFO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060737",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "56134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "61204",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01038284",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016791",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "2058269",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Joseph Bauer, D.C.
• Renee Dawn Baumgartner, CMT
• Heather Sue Begalske, PHARMD
• Tami Bell, APNP
• Judy A. Bessac, L.C.S.W.

• Family Medicine Physician in Wisconsin Dells, WI
• Providers in Wisconsin Dells, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.