CARMELA VALENTINA CALVO MD
NPI 1114994423
Pediatrics in Philadelphia, PA

Active since March 06, 2006PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5369 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2023, Feb 15, 2023, Mar 21, 2017 and 1 more (4 updates tracked since 2017).

About Carmela Valentina Calvo Md NPPES

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

CARMELA VALENTINA CALVO MD (NPI 1114994423) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD069446L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114994423
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARMELA VALENTINA CALVOCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorNo
Enumeration DateMarch 6, 2006
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1114994423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD069446L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E ERIE AVE, Philadelphia, PA 19134

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmela Valentina Calvo Md 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

4

Medicare enrollment records show Carmela Calvo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
Pediatrics
1012 LAUREL OAK RD, SPECIALTY CENTER AT VOORHEES - CHOP
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 190 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
Emergency Medicine
1201 LANGHORNE-NEWTON ROAD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Carmela Calvo's NPI number?

The NPI number for Carmela Calvo is 1114994423. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Where is Carmela Calvo located?

Carmela Calvo practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5369.

What is Carmela Calvo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carmela Calvo enrolled in Medicare?

Yes. Carmela Calvo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carmela Calvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmela Calvo reassigns Medicare benefits to 4 organizations: Stc Pediatrics LLC (Philadelphia, PA), Children's Health Care Associates Of New Jersey PC (Voorhees, NJ), Advocare, LLC (Marlton, NJ) and Emergency Care Services Of Pennsylvania, P.C. (Langhorne, PA). 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 Carmela Calvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmela Calvo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carmela Calvo 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 Carmela Calvo was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.