STEFANIA CARMONA MD
NPI 1124525134
Internal Medicine - Infectious Disease in Birmingham, AL

Active since April 07, 2018PECOS EnrolledAccepts Medicare Assignment
619 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stefania Carmona Md NPPES

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

STEFANIA CARMONA MD (NPI 1124525134) is an individual infectious disease provider in Birmingham, Alabama, licensed in Alabama (38840) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124525134
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameSTEFANIA CARMONACredential: MD
Location Address619 19TH ST SBirmingham, AL 35233-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2018
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedSeptember 20, 2023
NPI 1124525134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in AL · 38840
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
619 19TH ST S, Birmingham, AL 35233

Secondary Practice Location 1

Location 1500 22nd St SBirmingham, AL 35233-3110 · Phone (205) 801-7440 · Fax (205) 801-7441

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

Stefania Carmona 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.

PECOS PAC ID6305191818
PECOS Enrollment IDI20231002002285
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.

Areas of Expertise CMS Part B claims 2

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.

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.
34 services25 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.
23 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Emergency Medicine (Medical Toxicology)
619 19TH ST S
BIRMINGHAM, AL 35233
Registered Nurse
619 19TH ST S
BIRMINGHAM, AL 35233
Physician Assistant
619 19TH ST S
BIRMINGHAM, AL 35233
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35233
Hospitalist
619 19TH ST S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine (Hematology)
619 19TH ST S
BIRMINGHAM, AL 35233
Surgery (Trauma Surgery)
619 19TH ST S
BIRMINGHAM, AL 35233

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 Stefania Carmona's NPI number?

The NPI number for Stefania Carmona is 1124525134. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Stefania Carmona located?

Stefania Carmona practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.

What is Stefania Carmona's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Stefania Carmona enrolled in Medicare?

Yes. Stefania Carmona 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 Stefania Carmona accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Stefania Carmona 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 Stefania Carmona was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.