DR. CARLOS DORTA (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1063807170

DR. CARLOS DORTA (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. ME146647 (FL). The NPI Number for DR. CARLOS DORTA (MD) is 1063807170

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS DORTA (MD)
NPI
1063807170
Phone
(314) 251-6486
Address
625 S New Ballas Rd
Enumeration Date
6 April 2015
Last Update Date
14 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616221411
Graduation Year
2014 (12 years ago)
PAC ID
7618225483
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20200811003202
Address ID
FL334104323PA3360XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. CARLOS DORTA (MD)

  • 625 S New Ballas Rd

    Saint Louis, MO 63141

    Phone: (314) 251-6486

    Type: Location

  • 3320 BRINELY PL

    ROYAL PALM BEACH, FL 334118315

    Phone:

    Type: Mailing

  • 5301 S CONGRESS AVE

    ATLANTIS, FL 334621149

    Phone: (615) 372-8900

    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: 2020-08-11

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
I20200811003202IInternal MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes245129$0
99292Critical care, each additional 30 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

How do payers reference DR. CARLOS DORTA (MD)?
For DR. CARLOS DORTA (MD), use NPI 1063807170 as the unique 10-digit identifier.
Is DR. CARLOS DORTA (MD) still an active registrant?
DR. CARLOS DORTA (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. CARLOS DORTA (MD)?
DR. CARLOS DORTA (MD) is associated with Critical Care Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. CARLOS DORTA (MD) located near Saint Louis?
DR. CARLOS DORTA (MD) currently maps to Saint Louis, Missouri in this extract.
When was this NPI issued?
Enumeration for DR. CARLOS DORTA (MD) is noted as April 6, 2015 where the registry provides it.

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