CARLOS R GALVAO-SOBRINHO MD, PHD
NPI 1073936274
Internal Medicine - Nephrology in Mount Pleasant, WI

Q: What is Carlos Galvao-sobrinho's NPI number?

The NPI number for Carlos Galvao-sobrinho is 1073936274. It was assigned to this individual provider in the NPPES registry on January 24, 2014.

Q: What is Carlos Galvao-sobrinho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since January 24, 2014PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

3805B SPRING ST STE 260, MOUNT PLEASANT, WI 53405(262) 687-8340(262) 687-8365 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Dec 18, 2018 (2 updates tracked since 2018).

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About Carlos R Galvao-sobrinho Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS R GALVAO-SOBRINHO MD, PHD (NPI 1073936274) is an individual nephrology provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (61922) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1073936274

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameCARLOS R GALVAO-SOBRINHOCredential: MD, PHD

Location Address3805B SPRING ST STE 260Mount Pleasant, WI 53405-1643

Mailing Address3805b Spring St Ste 260, Ste 210Mount Pleasant, WI 53405-1643 · (414) 310-8306 · Fax (262) 687-8365

Phone(262) 687-8340

Fax(262) 687-8365

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateJanuary 24, 2014

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1073936274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in WI · 61922✔ Licensed in CT · 52461

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 61922 (WI), 52461 (CT)

3805B SPRING ST STE 260, Mount Pleasant, WI 53405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos R Galvao-sobrinho Md, Phd 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.

PECOS PAC ID7315239167

PECOS Enrollment IDI20160714001594

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Carlos Galvao-sobrinho reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Milwaukee Nephrologists, S.C.

22 mi

Nephrology

2901 W KINNICKINNIC RIVER PKWY STE 413
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Milwaukee Nephrologists Sc
22 clinicians in this Medicare group

NPI 1982763405 (414) 383-7744

Columbia St. Mary's Hospital Milwaukee, Inc

26 mi

Multi-Specialty

2350 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
856 clinicians in this Medicare group

NPI 1023064482 (414) 585-1000

Ascension Medical Group-Southeast Wisconsin Inc

26 mi

Anesthesiology

2301 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1194473066 (414) 585-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

154 services85 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

132 services47 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

121 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

81 services33 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

49 services33 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

49 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services28 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

19 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARANTUYA NISLER APNP

Nurse Practitioner

3805B SPRING ST STE 260
MOUNT PLEASANT, WI 53405

Racine County (262) 687-8340

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 Carlos Galvao-sobrinho's NPI number?

The NPI number for Carlos Galvao-sobrinho is 1073936274. It was assigned to this individual provider in the NPPES registry on January 24, 2014.

Where is Carlos Galvao-sobrinho located?

Carlos Galvao-sobrinho practices at 3805B Spring St Ste 260, Mount Pleasant, WI 53405. The listed phone number is (262) 687-8340.

What is Carlos Galvao-sobrinho's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Carlos Galvao-sobrinho enrolled in Medicare?

Yes. Carlos Galvao-sobrinho 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.

Which organizations bill Medicare for Carlos Galvao-sobrinho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Galvao-sobrinho reassigns Medicare benefits to 3 organizations: Milwaukee Nephrologists, S.C. (Milwaukee, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Galvao-sobrinho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Galvao-sobrinho accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Carlos Galvao-sobrinho 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 Carlos Galvao-sobrinho affiliated with any hospitals?

According to CMS data, Carlos Galvao-sobrinho is affiliated with Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Carlos Galvao-sobrinho was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.