DR. CARLOS R CONESA MD
NPI 1366914111
General Practice in Muskogee, OK

Q: What is Carlos Conesa's NPI number?

The NPI number for Carlos Conesa is 1366914111. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Q: What is Carlos Conesa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Conesa was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 18, 2018PECOS Enrolled

1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401(918) 577-3000 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2021, Dec 18, 2018 (2 updates tracked since 2018).

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About Dr. Carlos R Conesa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLOS R CONESA MD (NPI 1366914111) is an individual general practice provider in Muskogee, Oklahoma, licensed in Puerto Rico (21181) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366914111

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. CARLOS R CONESACredential: MD

Location Address1011 HONOR HEIGHTS DRMuskogee, OK 74401-1318

Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2032 · Fax (401) 456-6719

Phone(918) 577-3000

Sole ProprietorYes

Enumeration DateDecember 18, 2018

Last NPPES UpdateApril 13, 20212 updates tracked since enumeration

NPPES CertifiedApril 13, 2021

✔ NPI 1366914111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 21181

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X · License LP04752 (RI)

1011 HONOR HEIGHTS DR, Muskogee, OK 74401

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Secondary Practice Locations 2

Location 1SOUTHERN MEDICAL PLAZA, 80 CALLE 3 SURGUAYAMA, PR 00784 · Phone (787) 866-1212 · Fax (787) 866-3322

Location 2825 Chalkstone AveProvidence, RI 02908 · Phone (401) 456-2032 · Fax (401) 456-6719

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos R Conesa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LESA TRICKETT RRT

Respiratory Therapist, Registered