MRS. LORI A CARRILLO M.D.
NPI 1205864790
Obstetrics & Gynecology in Phoenix, AZ
About Mrs. Lori A Carrillo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LORI A CARRILLO M.D. (NPI 1205864790) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Oregon (MD196778) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mrs. Lori A Carrillo M.d. 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
4Medicare enrollment records show Lori Carrillo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85016
- Reassigned Medicare billing, Texas enrollment
- 599 clinicians in this Medicare group
Chandler, AZ 85224
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Obhg Arizona PC
- 98 clinicians in this Medicare group
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 90 clinicians in this Medicare group
Welches, OR 97067
- Reassigned Medicare billing, Oregon enrollment
- 206 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Lori Carrillo's NPI number?
The NPI number for Lori Carrillo is 1205864790. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is Lori Carrillo located?
Lori Carrillo practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.
What is Lori Carrillo's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lori Carrillo enrolled in Medicare?
Yes. Lori Carrillo 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 Lori Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Carrillo reassigns Medicare benefits to 4 organizations: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ), Obhg Arizona, P.C. (Chandler, AZ), Centennial Medical Group Inc. (Roseburg, OR) and Northwest Medical Foundation Of Tillamook (Welches, OR). 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 Lori Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lori Carrillo accept?
Health plans from Cigna HealthCare of Arizona, Inc list Lori Carrillo 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.
When was this NPI record last updated?
The NPPES record for Lori Carrillo was last updated on January 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Lori A Carrillo, M.D. · NPI 1205864790
Obstetrics & Gynecology physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1205864790 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD196778 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4212 N 16TH ST, Phoenix, AZ 85016-5319
- **Phone:** (602) 263-1200 · **Fax:** (602) 263-1619
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (NPI 1083643738, Phoenix, AZ); Obhg Arizona, P.C. (NPI 1902188642, Chandler, AZ); Centennial Medical Group Inc. (NPI 1518103274, Roseburg, OR); Northwest Medical Foundation Of Tillamook (NPI 1861944894, Welches, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** January 28, 2024
- **Other identifiers:** Medicaid 500775586 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1205864790) · Data from the CMS NPPES public registry.