Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Dicarlo

Individual provider Internal Medicine Physician · NPI 1073778643

Dr. Mary Dicarlo is an Internal Medicine in Albuquerque, New Mexico. Graduated from University of Maryland School of Medicine in 2005, 21 years ago. Practices with Providence Health and Services Washington, a 480-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Trained at
University of Maryland School of Medicine
Licensed in
IL
In the registry since
2008

Practice location Address checks out

4901 Lang Ave NE
Albuquerque, NM 87109-4495
Phone: (505) 842-8171
Fax: (505) 246-0687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036121207 (IL)

Record details

NPI number1073778643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2008
Last updated in NPPESJune 7, 2013
Mailing address4901 Lang Ave Ne, Albuquerque, NM 87109-4495

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque