DR. HERMAN ANTHONY CARNEIRO MD
NPI 1003278359
Internal Medicine - Clinical Cardiac Electrophysiology in Worcester, MA
About Dr. Herman Anthony Carneiro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HERMAN ANTHONY CARNEIRO MD (NPI 1003278359) is an individual clinical cardiac electrophysiology provider in Worcester, Massachusetts, licensed in Massachusetts (1023644) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Herman Anthony Carneiro Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John H Stroger Jr Hospital
Acute Care Hospitals · Chicago, ILUmass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Herman Carneiro's NPI number?
The NPI number for Herman Carneiro is 1003278359. It was assigned to this individual provider in the NPPES registry on March 25, 2016.
Where is Herman Carneiro located?
Herman Carneiro practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3452.
What is Herman Carneiro's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.
Is Herman Carneiro enrolled in Medicare?
Yes. Herman Carneiro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Herman Carneiro accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Anthem Blue Cross and Blue Shield list Herman Carneiro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Herman Carneiro affiliated with any hospitals?
According to CMS data, Herman Carneiro is affiliated with John H Stroger Jr Hospital, Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Herman Carneiro was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Herman Anthony Carneiro, MD · NPI 1003278359
Clinical Cardiac Electrophysiology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 25, 2016.
## Identity
- **NPI:** 1003278359 (Entity type: Individual)
- **Enumerated:** March 25, 2016
- **Primary specialty:** Internal Medicine - Clinical Cardiac Electrophysiology · taxonomy 207RC0001X
- **State license:** 1023644 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-3452
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 4, 2025
- **Other identifiers:** Other 268093 (MA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1003278359) · Data from the CMS NPPES public registry.