NPPES file of Aug 9, 2026

Carlos Bastardo

Prevention Professional · Plymouth, IN

Carlos Bastardo is a prevention professional with a practice address in Plymouth, Indiana, and NPI 1417492281, issued on Jan 3, 2017. Check the license (Indiana 3577690, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417492281
Name
Carlos Bastardo
Primary taxonomy
Prevention Professional 405300000X
License number
3577690 IN
Self-reported in NPPES; status is on the state search
Practice location
11191 Shadylane Dr, Plymouth, IN 46563
Phone
(574) 936-4152
Enumerated
Jan 3, 2017
Record last updated
Jan 3, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(312) 256-9390
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Carlos Bastardo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 3577690    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Prevention Professional providers in Indiana

There are 12 prevention professional records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 12 in Indiana → Every provider in Plymouth →

Other prevention professional records in Indiana

  1. Stephanie Bell, BS, MSIndianapolis, IN1952833022
  2. Kevin Cawood, DVMFort Wayne, IN1053904508
  3. Ethan James, MAT, ATCEvansville, IN1134667900
  4. David KnightRichmond, IN1396562203
  5. Kylie Martindale, ATCAnderson, IN1710547492
  6. Christine O'LearyFort Wayne, IN1790350221
  7. Kristin Poske, RNIndianapolis, IN1588439624
  8. Nathan Reep, ATCMarion, IN1649705823
  9. Jennifer RubalcadaFort Wayne, IN1457906067
  10. Greta Slabach, OTRMiddlebury, IN1932648839

Common questions

What is Carlos Bastardo's NPI number?

Carlos Bastardo's National Provider Identifier (NPI) is 1417492281, issued on Jan 3, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Carlos Bastardo located?

The NPPES record lists a practice address at 11191 Shadylane Dr, Plymouth, IN, 46563. Phone: (574) 936-4152. Providers update this record themselves, so call before visiting.

How can I verify Carlos Bastardo's license?

NPPES lists Indiana license number 3577690, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.