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CARLY ANN SHIEMBOB D.O.
NPI 1114247566
Emergency Medicine in Philadelphia, PA

Active since June 08, 2010PECOS Enrolled
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-4000 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Ann Shiembob D.o. NPPES

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

CARLY ANN SHIEMBOB D.O. (NPI 1114247566) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Maine (DO2537) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Biddeford.

NPPES Registry Identity

NPI1114247566
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCARLY ANN SHIEMBOBCredential: D.O.
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200 · (215) 612-4000
Phone(215) 612-4000
Sole ProprietorYes
Enumeration DateJune 8, 2010
Last NPPES UpdateApril 16, 2019
✔ NPI 1114247566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ME · DO2537✔ Licensed in PA · OT013357✔ Licensed in PA · OS015723
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License OT013357 (PA)
10800 KNIGHTS RD, Philadelphia, PA 19114
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Secondary Practice Location 1

Location 11 Medical Center DrBiddeford, ME 04005-9422 · Phone (207) 294-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Ann Shiembob D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

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

Emergency Medicine Services Of Nh, LLC
271 mi
Emergency Medicine
1 PARKLAND DR
Derry, NH 03038
  • Reassigned Medicare billing, New Hampshire enrollment
  • 145 clinicians in this Medicare group
NPI 1386341444 (603) 432-1500
Emergency Medicine Physicians Of Rockingham County, LLC
291 mi
Emergency Medicine
5 ALUMNI DR
Exeter, NH 03833
  • Reassigned Medicare billing, New Hampshire enrollment
  • 51 clinicians in this Medicare group
NPI 1174956668 (330) 493-4443
Seacoast Emergency Physicians PC
296 mi
Emergency Medicine
65 CALEF HWY
Lee, NH 03861
  • Reassigned Medicare billing, New Hampshire enrollment
  • 48 clinicians in this Medicare group
NPI 1740410133 (603) 868-8507

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
199 services197 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services64 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

MANSI SHETH DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
CHERYL LYNNE GEE-MAURER CRNP
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
HEATHER MOORE RN
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
IAN LUMSDEN PA-C
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4064
PETER J GRELLA
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
DR. KRISHNA KOTHAMASU DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
GRETCHEN DAWN OVERTON DPM
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
MS. BONNIE VITTI-HUOT PA-C
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Carly Shiembob's NPI number?

The NPI number for Carly Shiembob is 1114247566. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Carly Shiembob located?

Carly Shiembob practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-4000.

What is Carly Shiembob's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carly Shiembob enrolled in Medicare?

Yes. Carly Shiembob is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carly Shiembob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Shiembob reassigns Medicare benefits to 3 organizations: Emergency Medicine Services Of Nh, LLC (Derry, NH), Emergency Medicine Physicians Of Rockingham County, LLC (Exeter, NH) and Seacoast Emergency Physicians PC (Lee, NH). 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 Carly Shiembob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Shiembob accept?

Health plans from Taro Health and WellSense Health Plan list Carly Shiembob 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.

When was this NPI record last updated?

The NPPES record for Carly Shiembob was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.