ANTONIO CARABALLO
NPI 1063209229
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
About Antonio Caraballo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIO CARABALLO (NPI 1063209229) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NJ15349700) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Antonio Caraballo 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19133 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19133
PHILADELPHIA, PA 19133
PHILADELPHIA, PA 19133
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 Antonio Caraballo's NPI number?
The NPI number for Antonio Caraballo is 1063209229. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Antonio Caraballo located?
Antonio Caraballo practices at 618 W Lehigh Ave, Philadelphia, PA 19133. The listed phone number is (215) 229-8857.
What is Antonio Caraballo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Antonio Caraballo enrolled in Medicare?
Yes. Antonio Caraballo 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.
When was this NPI record last updated?
The NPPES record for Antonio Caraballo was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Antonio Caraballo · NPI 1063209229
Psychiatric/Mental Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1063209229 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15349700 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 618 W LEHIGH AVE, Philadelphia, PA 19133-2227
- **Phone:** (215) 229-8857
## 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 2025
## Record status
- **NPPES last updated:** May 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063209229) · Data from the CMS NPPES public registry.