JAIME CARRILLO MD
NPI 1528649282
Student in an Organized Health Care Education/Training Program in Seattle, WA

Q: What is Jaime Carrillo's NPI number?

The NPI number for Jaime Carrillo is 1528649282. It was assigned to this individual provider in the NPPES registry on April 15, 2021. The provider is also known as Jaime Orlando Carrillo-Martinez MD.

Q: What is Jaime Carrillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Carrillo was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment

1401 MADISON ST STE 100, SEATTLE, WA 98104(206) 386-6054(206) 215-6027 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jaime Carrillo Md NPPES

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

JAIME CARRILLO MD (NPI 1528649282) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2021).

NPPES Registry Identity

NPI1528649282

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAIME CARRILLOCredential: MD

Location Address1401 MADISON ST STE 100Seattle, WA 98104-1316

Mailing Address3901 Montgomery Blvd Ne Apt 306Albuquerque, NM 87109-1086 · (832) 410-5507

Phone(206) 386-6054

Fax(206) 215-6027

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021

Enumeration DateApril 15, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1528649282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401 MADISON ST STE 100, Seattle, WA 98104

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Other Names 1

Other Name (5)Jaime Orlando Carrillo-martinez Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Jaime Carrillo 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 ID2163890401

PECOS Enrollment IDI20240830003307

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.

MICHAEL A. PURDON MD

Family Medicine