CARLOS ATORE
NPI 1952745036
Family Medicine in Austin, TX
About Carlos Atore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS ATORE (NPI 1952745036) is an individual family medicine provider in Austin, Texas, licensed in Texas (Q9117) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Providence Mount Carmel Hospital, and is a graduate of Albany Medical College Of Union University (2013).
NPPES Registry Identity
Specialties & Licenses
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
Carlos Atore 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
9Medicare enrollment records show Carlos Atore reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cuero, TX 77954
- Reassigned Medicare billing, Texas enrollment
- 135 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 118 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Refugio, TX 78377
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1942240189 (Texas)
- 44 clinicians in this Medicare group
Tulsa, OK 74146
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Sunnyside, WA 98944
- Reassigned Medicare billing, Washington enrollment
- 64 clinicians in this Medicare group
Colville, WA 99114
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1003067679 (Washington)
- 44 clinicians in this Medicare group
Mccleary, WA 98557
- Reassigned Medicare billing, Washington enrollment
- 138 clinicians in this Medicare group
Sedro Woolley, WA 98284
- Reassigned Medicare billing, Washington enrollment
- 139 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Mount Carmel Hospital
Critical Access Hospitals · Colville, WAAstria Sunnyside Hospital
Critical Access Hospitals · Sunnyside, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78701
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 Atore's NPI number?
The NPI number for Carlos Atore is 1952745036. It was assigned to this individual provider in the NPPES registry on April 19, 2013.
Where is Carlos Atore located?
Carlos Atore practices at 815 Brazos St Suite 701, Austin, TX 78701. The listed phone number is (512) 828-6997.
What is Carlos Atore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carlos Atore enrolled in Medicare?
Yes. Carlos Atore 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 Atore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Atore reassigns Medicare benefits to 9 organizations: Texas Emergency Group LLC (Cuero, TX), Lone Star Emergency Associates LLC (Victoria, TX), Victoria Emergency Associates LLC (Victoria, TX), Refugio County Memorial Hospital District (Refugio, TX), Victoria Hospitalist Associates, LLC (Tulsa, OK) 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 Atore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Atore accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Sendero Health Plans, Local Nonprofit list Carlos Atore 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 Atore affiliated with any hospitals?
According to CMS data, Carlos Atore is affiliated with Providence Mount Carmel Hospital and Astria Sunnyside Hospital.
When was this NPI record last updated?
The NPPES record for Carlos Atore was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carlos Atore · NPI 1952745036
Family Medicine physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 19, 2013.
## Identity
- **NPI:** 1952745036 (Entity type: Individual)
- **Enumerated:** April 19, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** Q9117 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 815 BRAZOS ST, SUITE 701, Austin, TX 78701-2562
- **Phone:** (512) 828-6997
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Texas Emergency Group LLC (NPI 1699288811, Cuero, TX); Lone Star Emergency Associates LLC (NPI 1457709040, Victoria, TX); Victoria Emergency Associates LLC (NPI 1407917164, Victoria, TX); Refugio County Memorial Hospital District (NPI 1821178336, Refugio, TX); Victoria Hospitalist Associates, LLC (NPI 1023236825, Tulsa, OK); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2013
## Record status
- **NPPES last updated:** November 22, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1952745036) · Data from the CMS NPPES public registry.