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Deactivated NPI 1598918872 Deactivated / Inactive NPI Male Practitioner

Dr. Roberto M De Carvalho , MD

Surgery • Edgewood, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roberto De Carvalho has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2008
NPI Deactivation Date June 03, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Roberto De Carvalho, MD was a registered Surgery practicing in Edgewood, KY. Throughout an active medical career spanning 11 years, Dr. De Carvalho provided care at the practice location at 20 MEDICAL VILLAGE DR until profile deactivation on 2019-06-03.

Practice Location & Contact Primary Location

Practice Address

20 Medical Village Dr
Suite 338

Edgewood, KY 410175401

Telephone 8593416571
Fax 8593419080
Associated Practice Facility / Clinic
🏢 Remke Medical Llc Facility NPI 1376542019

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Edgewood, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.8 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Edgewood, KY (495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 16585

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
David Tackett , APRN

Nurse Practitioner

NPI 1043821085

Advanced Practice Registered Nurse

Deborah Barnett , PA-C

Physician Assistant

NPI 1043895733

Physician Assistant (Certified)

Dr. Micheal Robinson , MD, DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1063509743

Doctor of Medicine (M.D.), Doctor of Dental Medicine

Dr. Vidya Devarajan , MD

Internal Medicine - Infectious Disease

NPI 1063658623

Doctor of Medicine (M.D.)

Anna Grote , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073906913

Certified Registered Nurse Anesthetist

Dr. Steve Chausse , MD

Surgery - Vascular Surgery

NPI 1083008346

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 03, 2019

Record deactivated on June 03, 2019

NPI Profile Active October 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2008

Registered at 20 MEDICAL VILLAGE DR, SUITE 338, EDGEWOOD, KY 410175401 (Tel: 8593416571)

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Updated Business Mailing Address October 30, 2008

Registered at 20 MEDICAL VILLAGE DR, SUITE 338, EDGEWOOD, KY 410175401 (Tel: 8593416571)

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Provider Name / Credentials Updated October 30, 2008

Recorded as ROBERTO DE CARVALHO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2008

Surgery (License #16585 in KY)

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Initial NPI Registration & Enumeration October 30, 2008

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: 1598918872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2008
Last Update: October 30, 2008
Deactivation Date: June 03, 2019

Mailing Address

20 Medical Village Dr, Suite 338

Edgewood, KY 410175401

Phone: 8593416571

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.