DR. FIDEL CARILLO REBELES (M.D.) – Diagnostic Radiology Physician, NPI 1922028760

DR. FIDEL CARILLO REBELES (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD00046502 (WA). The NPI Number for DR. FIDEL CARILLO REBELES (M.D.) is 1922028760

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. FIDEL CARILLO REBELES (M.D.)
NPI
1922028760
Phone
(206) 543-6420
Address
PO BOX 50095
Enumeration Date
21 July 2006
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
9258136500
Graduation Year
2000 (26 years ago)
PAC ID
6305840224
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20080409000432
Address ID
CA945318687AN4501XRDXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,262 DIAGNOSTIC RADIOLOGY in WA

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Provider Addresses for DR. FIDEL CARILLO REBELES (M.D.)

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 543-6420

    Type: Mailing

  • University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States

    SEATTLE, WA 981950001

    Phone: (206) 598-6200

    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: 2008-04-09

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
I20080409000432IDiagnostic RadiologyCATBD

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 98145)

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Provider's Procedures

DR. FIDEL CARILLO REBELES (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA71010X-ray of chest, 1 view, front2821

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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for DR. FIDEL CARILLO REBELES (M.D.) in U.S. healthcare records?
The official identifier for DR. FIDEL CARILLO REBELES (M.D.) is NPI 1922028760.
Active or inactive — what applies to DR. FIDEL CARILLO REBELES (M.D.)?
You should see DR. FIDEL CARILLO REBELES (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. FIDEL CARILLO REBELES (M.D.)?
At a glance, DR. FIDEL CARILLO REBELES (M.D.) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. FIDEL CARILLO REBELES (M.D.)?
Travel planning: use Seattle, Washington as the reference point for DR. FIDEL CARILLO REBELES (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. FIDEL CARILLO REBELES (M.D.) is noted as July 21, 2006 where the registry provides it.

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