ERNESTO CARLOS MD
NPI 1619044559
Pediatrics in Fort Defiance, AZ
About Ernesto Carlos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERNESTO CARLOS MD (NPI 1619044559) is an individual pediatrics provider in Fort Defiance, Arizona, licensed in California (A45611) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
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 (PECOS)
Ernesto Carlos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ernesto Carlos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 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 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 Ernesto Carlos's NPI number?
The NPI number for Ernesto Carlos is 1619044559. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is Ernesto Carlos located?
Ernesto Carlos practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Ernesto Carlos's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ernesto Carlos enrolled in Medicare?
Yes. Ernesto Carlos is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ernesto Carlos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ernesto Carlos reassigns Medicare benefits to The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). The 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 Ernesto Carlos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ernesto Carlos accept?
Health plans from Blue Cross Blue Shield of Arizona list Ernesto Carlos 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 Ernesto Carlos was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ernesto Carlos, MD · NPI 1619044559
Pediatrics physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1619044559 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A45611 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1619044559) · Data from the CMS NPPES public registry.