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E DUANE CARMALT M.D.
NPI 1952597627
Internal Medicine - Infectious Disease in Tarzana, CA

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment
5620 WILBUR AVE, SUITE 307, TARZANA, CA 91356(818) 881-9255(818) 881-3397 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About E Duane Carmalt M.d. NPPES

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

E DUANE CARMALT M.D. (NPI 1952597627) is an individual infectious disease provider in Tarzana, California, licensed in California (G23973) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1969).

NPPES Registry Identity

NPI1952597627
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameE DUANE CARMALTCredential: M.D.
Location Address5620 WILBUR AVE, SUITE 307Tarzana, CA 91356-1351
Mailing Address5620 Wilbur Ave, Suite 307Tarzana, CA 91356-1351 · (818) 881-9255 · Fax (818) 881-3397
Phone(818) 881-9255
Fax(818) 881-3397
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 1969
Enumeration DateSeptember 17, 2007
Last NPPES UpdateJune 20, 2013
✔ NPI 1952597627 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 CA · G23973
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.
5620 WILBUR AVE, Tarzana, CA 91356
Open in Google Maps ↗

Other Identifiers 3

Other00G239730CA · Ca Medi-cal
Medicare PINWG23973ACA
Medicare PINW21191CA

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

E Duane Carmalt 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 ID2264526300
PECOS Enrollment IDI20070919000746
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services23 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
41 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91356 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
63%1,038 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
22%143 patients1/55-star benchmark: 99%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 143 patients
1%143 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

WILBUR FAMILY PHARMACY
Pharmacy
5620 WILBUR AVE, 100
TARZANA, CA 91356
Los Angeles County (818) 342-6520
DR. JOSEPH SHAU LIN TSAI DDS
Dentist (General Practice)
5620 WILBUR AVE, SUITE 300
TARZANA, CA 91356
Los Angeles County (818) 708-3828
DR KOVAR AND DR. SILVERSTEIN INC.
Internal Medicine
5620 WILBUR AVE, 200
TARZANA, CA 91356
Los Angeles County (818) 345-0601
GERALD M. KOVAR, M.D. INC.
Internal Medicine
5620 WILBUR AVE, SUITE 221
TARZANA, CA 91356
Los Angeles County (818) 774-9225
BEZAD DENTAL GROUP PROFESSIONAL CORPORATION
Dentist
5620 WILBUR AVE, SUITE 310
TARZANA, CA 91356
Los Angeles County (323) 886-3368
LAURENCE M. SILVERSTEIN, M.D., INC
Internal Medicine
5620 WILBUR AVE, 200
TARZANA, CA 91356
Los Angeles County (818) 345-2323
DR. GERALD MICHAEL KOVAR M.D.
Internal Medicine
5620 WILBUR AVE, SUITE 221
TARZANA, CA 91356
Los Angeles County (818) 774-9225
LDNR PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
5620 WILBUR AVE, SUITE 100
TARZANA, CA 91356
Los Angeles County (747) 265-6781

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 E Duane Carmalt's NPI number?

The NPI number for E Duane Carmalt is 1952597627. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is E Duane Carmalt located?

E Duane Carmalt practices at 5620 Wilbur Ave Suite 307, Tarzana, CA 91356. The listed phone number is (818) 881-9255.

What is E Duane Carmalt's specialty?

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

Is E Duane Carmalt enrolled in Medicare?

Yes. E Duane Carmalt 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.

When was this NPI record last updated?

The NPPES record for E Duane Carmalt was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.