DR. CARLOS ARIAS MD
NPI 1376953232
Physical Medicine & Rehabilitation in Englewood, NJ

Active since May 01, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
500 GRAND AVE STE 100, ENGLEWOOD, NJ 07631(201) 567-2277 Get Directions Write a Review

NPPES record last updated: February 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carlos Arias Md NPPES

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

DR. CARLOS ARIAS MD (NPI 1376953232) is an individual physical medicine & rehabilitation provider in Englewood, New Jersey, licensed in New York (295106) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Brooksville, and is a graduate of New York Medical College (2014).

NPPES Registry Identity

NPI1376953232
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. CARLOS ARIASCredential: MD
Location Address500 GRAND AVE STE 100Englewood, NJ 07631-4968
Mailing Address3715 27th St Apt 2cLong Island City, NY 11101-2627 · (718) 440-1999
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2014
Enumeration DateMay 1, 2014
Last NPPES UpdateFebruary 3, 2019
NPI 1376953232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NY · 295106
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
500 GRAND AVE STE 100, Englewood, NJ 07631

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Arias Md 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.

PECOS PAC ID2769732924
PECOS Enrollment IDI20210722001075
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,543 services682 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
507 services289 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
316 services288 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
228 services211 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services65 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital Brooksville

Acute Care Hospitals · Brooksville, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100071
Location17240 Cortez BlvdBrooksville, FL 34601 · Hernando County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers29 claims29 services$9.87 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers49 claims50 services$43.66 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$2.71 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
1 supplier13 claims25 services$16.35 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier13 claims26 services$25.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$68.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631
Physical Therapist
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631
Occupational Therapist
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631
Physical Medicine & Rehabilitation
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631
Physical Medicine & Rehabilitation
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631
Physical Medicine & Rehabilitation
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631
Physical Medicine & Rehabilitation
500 GRAND AVE STE 100
ENGLEWOOD, NJ 07631

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 Carlos Arias's NPI number?

The NPI number for Carlos Arias is 1376953232. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Where is Carlos Arias located?

Carlos Arias practices at 500 Grand Ave Ste 100, Englewood, NJ 07631. The listed phone number is (201) 567-2277.

What is Carlos Arias's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Carlos Arias enrolled in Medicare?

Yes. Carlos Arias 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.

What insurance does Carlos Arias accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Carlos Arias 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 Carlos Arias affiliated with any hospitals?

According to CMS data, Carlos Arias is affiliated with Tampa General Hospital Brooksville.

When was this NPI record last updated?

The NPPES record for Carlos Arias was last updated on February 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.