DR. CARLOS E. ENCARNACION M.D.
NPI 1679521686
Radiology - Diagnostic Radiology in Edina, MN

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1301(612) 294-4903 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 5, 2025, Jul 16, 2019 (2 updates tracked since 2019).

About Dr. Carlos E. Encarnacion M.d. NPPES

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

DR. CARLOS E. ENCARNACION M.D. (NPI 1679521686) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in Florida (ME0079823) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of University Of Puerto Rico School Of Medicine (1977).

NPPES Registry Identity

NPI1679521686
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CARLOS E. ENCARNACIONCredential: M.D.
Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915
Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1977
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1679521686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME0079823
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3600 MINNESOTA DR STE 800, Edina, MN 55435

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos E. Encarnacion M.d. 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 ID6901847029
PECOS Enrollment IDI20100201000521
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Carlos Encarnacion reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3600 MINNESOTA DR STE 800
Edina, MN 55435
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
Critical Access
200 ELM ST N
Onamia, MN 56359
  • Reassigned Medicare billing, Minnesota enrollment
  • 145 clinicians in this Medicare group
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
Diagnostic Radiology
2600 GREENWOOD RD
Shreveport, LA 71103
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
Diagnostic Radiology
100 CARNIE BLVD STE B5
Voorhees, NJ 08043
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
Diagnostic Radiology
175 MADISON AVE
Mount Holly, NJ 08060
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
Diagnostic Radiology
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
185 GRAFTON RD
Townshend, VT 05353
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1255337473 (Vermont)
  • 74 clinicians in this Medicare group
Diagnostic Radiology
6002 BERRYHILL RD
Milton, FL 32570
  • Reassigned Medicare billing, Florida enrollment
  • 31 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.

Areas of Expertise CMS Part B claims 19

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
149 services148 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
146 services135 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
126 services125 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
111 services110 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
87 services85 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
63 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Vascular & Interventional Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435
Radiology (Diagnostic Radiology)
3600 MINNESOTA DR STE 800
EDINA, MN 55435

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 Encarnacion's NPI number?

The NPI number for Carlos Encarnacion is 1679521686. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Carlos Encarnacion located?

Carlos Encarnacion practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1301.

What is Carlos Encarnacion's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Carlos Encarnacion enrolled in Medicare?

Yes. Carlos Encarnacion 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.

Which organizations bill Medicare for Carlos Encarnacion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Encarnacion reassigns Medicare benefits to 9 organizations: Virtual Radiologic Professionals, LLC (Edina, MN), Mille Lacs Health System (Onamia, MN), Lakewood Health System (Staples, MN), Red River Consultants, Inc (Shreveport, LA), South Jersey Radiology Associates P A (Voorhees, NJ) and 4 more organizations, listed in the Medicare section above. Each 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 Carlos Encarnacion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Encarnacion accept?

Health plans from Blue Cross and Blue Shield of Texas, HMO Louisiana and WellSense Health Plan list Carlos Encarnacion 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 Encarnacion affiliated with any hospitals?

According to CMS data, Carlos Encarnacion is affiliated with Willis Knighton Medical Center, West Jersey Hospital, Virtua Mount Holly Hospital, Woodland Heights Medical Center and Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Carlos Encarnacion was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.