DR. CARLOS DEL RIO M.D.
NPI 1780628982
Internal Medicine - Infectious Disease in Atlanta, GA
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
Specialties & Licenses
Other Identifiers 1
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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carlos Del Rio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 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.
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, GAPhysician 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.
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.
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.
Which organizations bill Medicare for Carlos Del Rio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Del Rio reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Del Rio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Del Rio accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Carlos Del Rio 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 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 3 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.
# Dr. Carlos Del Rio, M.D. · NPI 1780628982
Infectious Disease physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1780628982 (Entity type: Individual)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 027282 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1635 CLIFRON RD. NE, BUILDING A, Atlanta, GA 30322-0001
- **Phone:** (404) 778-7777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 00720112A (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780628982) · Data from the CMS NPPES public registry.