DR. MARY DICARLO
NPI 1073778643
Internal Medicine in Albuquerque, NM
About Dr. Mary Dicarlo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY DICARLO (NPI 1073778643) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in Illinois (036121207) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of University Of Maryland School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mary Dicarlo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Dicarlo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Humble, TX 77338
- Reassigned Medicare billing, New Mexico enrollment
- 251 clinicians in this Medicare group
Centralia, WA 98531
- Reassigned Medicare billing, Washington enrollment
- 646 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Peter Hospital
Acute Care Hospitals · Olympia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Dicarlo's NPI number?
The NPI number for Mary Dicarlo is 1073778643. It was assigned to this individual provider in the NPPES registry on July 23, 2008.
Where is Mary Dicarlo located?
Mary Dicarlo practices at 4901 Lang Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 842-8171.
What is Mary Dicarlo's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mary Dicarlo enrolled in Medicare?
Yes. Mary Dicarlo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Dicarlo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dicarlo reassigns Medicare benefits to 2 organizations: Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and Providence Health & Services Washington (Centralia, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Dicarlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Dicarlo accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Dicarlo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mary Dicarlo affiliated with any hospitals?
According to CMS data, Mary Dicarlo is affiliated with Providence St Peter Hospital.
When was this NPI record last updated?
The NPPES record for Mary Dicarlo was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mary Dicarlo · NPI 1073778643
Internal Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 23, 2008.
## Identity
- **NPI:** 1073778643 (Entity type: Individual)
- **Enumerated:** July 23, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036121207 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4901 LANG AVE NE, Albuquerque, NM 87109-4495
- **Phone:** (505) 842-8171 · **Fax:** (505) 246-0687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Providence Health & Services Washington (NPI 1225763949, Centralia, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** June 7, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1073778643) · Data from the CMS NPPES public registry.