Carlos Enrique Fossi, M,D.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME51410 Issued in FL

Practice address

5030 Kingswood Dr
Lakeland, FL 33813-3026

Phone

(863) 274-0853

Fax

(863) 582-9436

NPI assigned

Jul 25, 2006

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 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

General Surgery

Education

Other, 1967

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Vidal Services Inc

  • Clinic/Center
  • Hialeah, FL
  • NPI 1538856208
  Medicare reassignment NPD Authorized official
• Ags Healthcare Specialists Inc

  • Gerontology Nurse Practitioner
  • Tampa, FL
  • NPI 1467482380
  NPD (past)
• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871
  NPD (past)
• Cynergy Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Lakeland, FL
  • NPI 1376785758
  NPD (past)
• Ernesto J Perez MD LLC

  • Legal Medicine
  • Winter Haven, FL
  • NPI 1679679872
  NPD (past)
• Salazar Family Health Care, Inc

  • Family Medicine Physician
  • Mulberry, FL
  • NPI 1437141686
  NPD (past)
• Tommy L Louisville MD PA

  dba First Help Urgent Care Clinic Lakeland

  • Non-Pharmacy Dispensing Site
  • Lakeland, FL
  • NPI 1295143295
  NPD (past)
• Tommy L. Louisville, M.D., PA

  dba First Help Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1780785964
  NPD (past)
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1982627774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 KINGSWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133026",
            "telephone_number": "863-274-0853",
            "fax_number": "863-582-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 KINGSWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133026",
            "telephone_number": "863-274-0853",
            "fax_number": "863-582-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSSI",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME51410",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ME51410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0644056-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Forestiere, M.D.
• Kristen Moore Forgue, MS CCCSLP
• Damaris Yamilet Fornaris Garcell
• Amy J Fort, ARNP
• Dominick Richard Fortunato, BEHAVIOR TECHNICIAN
• Kiasia Lashae Foster
• Latoyta Foster
• Syctrilos Yvette Foster, M.A.
• Tisha Foster, M.D.
• Robert James Fournier, RPH

• Urgent Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.