DR. MARIO CARRILLO D.O. NPI 1053491936

NPI Information

  • NPI: 1053491936
  • Provider Name: DR. MARIO CARRILLO, D.O.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1676 SUNSET AVE
    4TH FLOOR
    UTICA, NY
    ZIP 13502
  • Phone: (315) 624-4690

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NPI Details

DR. Mario Carrillo, D.O. is a vascular surgery surgery in Utica, NY with 32 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Mario Carrillo, D.O. NPI is 1053491936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:1994

The provider's business location address is:

1676 SUNSET AVE
4TH FLOOR
UTICA, NY
ZIP 13502
Phone: (315) 624-4690
Fax: (315) 624-4840

The NPI 1053491936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93979)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Balloon dilation of artery of leg, initial vessel (HCPCS:37228)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Balloon dilation of artery of leg, each additional vessel (HCPCS:37232)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 3/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery213540NYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101976636MEDICAIDNY
2G97620MEDICARE UPINNY
3J400250598MEDICARE PINNY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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