ROBERTO M. ICARRO (M.D.) – Internal Medicine Physician, NPI 1497703193

ROBERTO M. ICARRO (M.D.) is a healthcare provider. based in Warner robins, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 051049 (GA). The NPI Number for ROBERTO M. ICARRO (M.D.) is 1497703193

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTO M. ICARRO (M.D.)
NPI
1497703193
Phone
(478) 328-2122
Address
1743 WATSON BLVD
Enumeration Date
4 May 2006
Last Update Date
30 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789298030
Graduation Year
1993 (33 years ago)
PAC ID
7012940323
Group Practice PAC ID
7315902087
Professional Enrollment ID
I20050916000589
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERTO M. ICARRO (M.D.)

  • 1743, Watson Boulevard, Warner Robins, Houston County, Georgia, 31093, United States

    SUITE B

    WARNER ROBINS, GA 310933633

    Phone: (478) 328-2122

    Fax: (478) 929-2242

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050916000589IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315902087View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

What is the standard ID for ROBERTO M. ICARRO (M.D.) in the U.S.?
In the U.S., ROBERTO M. ICARRO (M.D.) is identified by NPI 1497703193.
Is ROBERTO M. ICARRO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists ROBERTO M. ICARRO (M.D.) as active.
What services align with ROBERTO M. ICARRO (M.D.)'s listing?
ROBERTO M. ICARRO (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ROBERTO M. ICARRO (M.D.) tied to Warner Robins, Georgia?
If you are local to Warner Robins, Georgia, ROBERTO M. ICARRO (M.D.) may be relevant to your search.
Why is information missing for ROBERTO M. ICARRO (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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