1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Clinic Center
  6. NPI Profile

DR. CARLOS ENRIQUE FOSSI M,D.
NPI 1982627774
Clinic/Center - Urgent Care in Lakeland, FL

Active since July 25, 2006PECOS Enrolled
5030 KINGSWOOD DR, LAKELAND, FL 33813(863) 274-0853(863) 582-9436 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Carlos Enrique Fossi M,d. NPPES

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

DR. CARLOS ENRIQUE FOSSI M,D. (NPI 1982627774) is an individual urgent care provider in Lakeland, Florida, licensed in Florida (ME51410) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1982627774
Entity TypeIndividualMale
Primary Taxonomy261QU0200X
Provider Legal NameDR. CARLOS ENRIQUE FOSSICredential: M,D.
Location Address5030 KINGSWOOD DRLakeland, FL 33813-3026
Mailing Address5030 Kingswood DrLakeland, FL 33813-3026 · (863) 274-0853 · Fax (863) 582-9436
Phone(863) 274-0853
Fax(863) 582-9436
Sole ProprietorYes
Medical School CMSOtherGraduated 1967
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1982627774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · ME51410
Also ListedAssisted Living FacilityTaxonomy 310400000X · License ME51410 (FL)
5030 KINGSWOOD DR, Lakeland, FL 33813
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN11398FL
Medicaid0644056-00FL
Medicare UPINE66587FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Enrique Fossi M,d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385602747
PECOS Enrollment IDI20041231000000
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 Reassignment

Medicare enrollment records show Carlos Fossi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vidal Services Inc
176 mi
Clinic/Center
900 W 49 ST, SUITE 560
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
NPI 1538856208 (786) 963-7281

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SLIM BODY DESIGN, LLC
Clinic/Center
5030 KINGSWOOD DR
LAKELAND, FL 33813
Polk County (863) 274-0851

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 Fossi's NPI number?

The NPI number for Carlos Fossi is 1982627774. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Carlos Fossi located?

Carlos Fossi practices at 5030 Kingswood Dr, Lakeland, FL 33813. The listed phone number is (863) 274-0853.

What is Carlos Fossi's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Carlos Fossi enrolled in Medicare?

Yes. Carlos Fossi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Fossi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Fossi reassigns Medicare benefits to Vidal Services Inc (Hialeah, FL). The 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 Fossi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Fossi was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.