DR. DIANA NICOLE CARVAJAL (MD) – Family Medicine Physician, NPI 1043466030
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,488 FAMILY PRACTICE in MD
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Provider Addresses for DR. DIANA NICOLE CARVAJAL (MD)
PO BOX 64380
BALTIMORE, MD 212644380
Phone: (410) 328-6792
Fax: (410) 328-8726
Type: Mailing
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
University of Family & Community Medicine, 29, South Paca Street, Ridgely's Delight, Baltimore, Maryland, 21201, United States
LOWER LEVEL
BALTIMORE, MD 212011771
Phone: (410) 328-2616
Fax: (140) 328-8726
Type: Location
1102 S PARK ST STE 100
MADISON, WI 537151708
Phone: (608) 263-3111
Type: Location
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: 2024-10-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241018000994 | I | Family Practice | WI | TBD |
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.
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 21264)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Pediatric Medicine, Internal Medicine | WI | |
| Hospitalist, Family Practice | WI | |
| Family Practice | CA | |
| - | WI | |
| Family Practice | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| Family Practice | WI | |
| Family Practice | WI |
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