Individual provider Active NPI

Carmella Frances D'Incognito, D.O.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1891993119
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
173745 Issued in NC
Practice address
10628 Park Rd
Charlotte, NC 28210-8407
Phone
(704) 667-1000
NPI assigned
Jul 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 173745 NC Primary

Addresses

Primary practice location

10628 Park Rd
Charlotte, NC 28210-8407

Mailing address

10628 Park Rd
Charlotte, NC 28210-8407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, AL, TN, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110901000517 NC Practitioner - Emergency Medicine 3577733476 Reassigns benefits to 3 organizations
I20140820001244 OH Practitioner - Emergency Medicine 3577733476 Reassigns benefits to 1 organization
I20241112001629 AL Practitioner - Emergency Medicine 3577733476 Reassigns benefits to 2 organizations
I20250318000165 TN Practitioner - Emergency Medicine 3577733476 Reassigns benefits to 1 organization
I20260114002309 SC Practitioner - Emergency Medicine 3577733476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as group
Quality
99.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173745NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Emergency Physicians Ohio LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Chattanooga Emergency Medicine PLLC Current Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Aug 7, 2024 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC Emergency Medicine CurrentSince Jun 9, 2014 Accepting new patients
Ich ER Services, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2110 Highway 86
Piedmont, SC 29673
Phone (864) 512-1333

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

Interoperability endpoints

  • Direct secure messaging: cpercy536493@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1183852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1891993119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'INCOGNITO",
        "first_name": "CARMELLA",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "173745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.