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

Jose Manuel Carrillo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063094993

Jose Manuel Carrillo, MD is a Family Practice in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2024, 2 years ago. Practices with Access Community Health Centers Inc, a 68-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1102 S Park St
Madison, WI 53715-1708
Phone: (608) 263-3111
Fax: (608) 263-6663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77865-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063094993
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Access Community Health Centers Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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