Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376633586 Individual Practitioner Male Practitioner

Dr. Rodolfo Bartolome Carrillo , MD

General Practice • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Rodolfo Carrillo, MD is a registered healthcare professional specializing in General Practice in Gainesville, GA. Practice services are available at 420 BROAD ST SE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

420 Broad St Se

Gainesville, GA 305013726

Telephone 7705368885
Fax 7705368725

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Gainesville, GA (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 15 $250.06 $97.11

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 033243

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0TH000 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 420 BROAD ST SE, GAINESVILLE, GA 305013726 (Tel: 7705368885)

📍
Updated Business Mailing Address July 08, 2007

Registered at 420 BROAD ST SE, GAINESVILLE, GA 30501 (Tel: 7705368885)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RODOLFO CARRILLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #033243 in GA)

🟢
Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376633586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

420 Broad St Se

Gainesville, GA 30501

Phone: 7705368885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.