Alex Samuel Carcamo, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

A87398 Issued in CA

Practice address

100 Kahelu Ave Ste 226
Mililani, HI 96789-3962

Phone

(808) 621-1000

Fax

(808) 627-6000

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Dermatology

Education

Harvard Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete DermatologyGroup PAC ID 1759510316, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Complete Dermatology

  • Dermatology Physician
  • Mililani, HI
  • NPI 1467794842
  Medicare reassignment Care Compare group Authorized official
• Kawamura Eye Care, LLC

  • Optometrist
  • Wahiawa, HI
  • NPI 1851780621
  NPD (past)
• Paul S Takiguchi MD Inc

  • Dermatology Physician
  • Aiea, HI
  • NPI 1629282280
  NPD (past)
• U S Dermatology of Hawaii Inc

  • Dermatology Physician
  • Wahiawa, HI
  • NPI 1023343936
  NPD (past)
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Highland, CA
  • NPI 1053653873
  NPD (past)
• Gabriele Aesthetics Inc

  • Dermatology Physician
  • Arcadia, CA
  • NPI 1154744373
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1992759211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 226",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-772-2837",
            "fax_number": "818-583-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 226",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-621-1000",
            "fax_number": "808-627-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "ALEX",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A87398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cambra-Tam
• Chanelle Camero, MED
• Rafael Campano, RN
• Tiana Cantero-Kawelo
• Karren Caparas, CNA
• Shayna Carcieri
• Jessica Cardenas
• Nicole Cardillo, OT/CHT
• Kylie Caitlin Carganilla, DMD
• Carlos a. Omphroy, M.D., Inc.

• Procedural Dermatology Physician in Mililani, HI
• Providers in Mililani, HI by specialty
• Procedural Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.