Ulises Ernesto Carballosa Fernandez
NPI 1558051367ActiveIndividual· Dentist, General Practice· Ashtabula, OH
Dentist, General Practice in Ashtabula, Ohio, licensed in OH, with an NPI issued in May 2023. Part D covered 33 prescriptions written in 2024, 97% of them generic.
Overview
| NPI | 1558051367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 15, 2023 |
| Last updated in NPPES | Jul 17, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 30.028142 | OH |
| Student in an Organized Health Care Education/Training Program | 390200000X | RES.004578 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 33 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $97.48 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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