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

Individual provider Obstetrics & Gynecology Physician · NPI 1205864790

Mrs. Lori A Carrillo, MD is an Obstetrics/Gynecology in Phoenix, Arizona. Graduated from University of New Mexico School of Medicine in 2000, 26 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
26
Trained at
University of New Mexico School of Medicine
Licensed in
OR
In the registry since
2006
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

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD196778 (OR)

Record details

NPI number1205864790
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJanuary 28, 2024
Certification dateJanuary 28, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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