Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CARLOS DEL RIO M.D.
NPI 1780628982
Internal Medicine - Infectious Disease in Atlanta, GA

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1635 CLIFRON RD. NE, BUILDING A, ATLANTA, GA 30322(404) 778-7777 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carlos Del Rio M.d. NPPES

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

DR. CARLOS DEL RIO M.D. (NPI 1780628982) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (027282) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1780628982
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. CARLOS DEL RIOCredential: M.D.
Location Address1635 CLIFRON RD. NE, BUILDING AAtlanta, GA 30322-0001
Mailing Address69 Jessie Hill Jr. Dr.Atlanta, GA 30303 · (404) 616-7025
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1780628982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in GA · 027282
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1635 CLIFRON RD. NE, Atlanta, GA 30322

Other Identifiers 1

Medicaid00720112AGA

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 Del Rio 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 ID4082739644
PECOS Enrollment IDI20100920000542
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.

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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 Del Rio's NPI number?

The NPI number for Carlos Del Rio is 1780628982. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Carlos Del Rio located?

Carlos Del Rio practices at 1635 Clifron Rd. NE Building A, Atlanta, GA 30322. The listed phone number is (404) 778-7777.

What is Carlos Del Rio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Carlos Del Rio enrolled in Medicare?

Yes. Carlos Del Rio 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.

Is Carlos Del Rio affiliated with any hospitals?

According to CMS data, Carlos Del Rio is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Del Rio was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.