GABRIEL ASSIS DE CARLOS
NPI 1639856545
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Gabriel Assis De Carlos's NPI number?

The NPI number for Gabriel Assis De Carlos is 1639856545. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Gabriel Assis De Carlos's specialty?

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

Active since July 03, 2023PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-4600 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, Jul 3, 2023 (2 updates tracked since 2023).

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About Gabriel Assis De Carlos NPPES

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

GABRIEL ASSIS DE CARLOS (NPI 1639856545) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4351051336) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639856545

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGABRIEL ASSIS DE CARLOS

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282

Phone(269) 337-4600

Sole ProprietorNo

Enumeration DateJuly 3, 2023

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1639856545 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

License✔ Licensed in MI · 4351051336

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.

1000 OAKLAND DR, Kalamazoo, MI 49008

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Assis De Carlos 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.

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program