CARLY KAWANISHI MD
NPI 1124600739
Psychiatry & Neurology - Child & Adolescent Psychiatry in Aurora, CO
About Carly Kawanishi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY KAWANISHI MD (NPI 1124600739) is an individual child & adolescent psychiatry provider in Aurora, Colorado, licensed in Colorado (DR.0073356) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Carly Kawanishi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carly Kawanishi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aurora, CO 80045
- Reassigned Medicare billing, Colorado enrollment
- 4,283 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.
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.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Kawanishi's NPI number?
The NPI number for Carly Kawanishi is 1124600739. It was assigned to this individual provider in the NPPES registry on April 22, 2021.
Where is Carly Kawanishi located?
Carly Kawanishi practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.
What is Carly Kawanishi's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Carly Kawanishi enrolled in Medicare?
Yes. Carly Kawanishi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carly Kawanishi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Kawanishi reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). The 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 Kawanishi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Kawanishi accept?
Health plans from Select Health list Carly Kawanishi 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 Kawanishi was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Carly Kawanishi, MD · NPI 1124600739
Child & Adolescent Psychiatry physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since April 22, 2021.
## Identity
- **NPI:** 1124600739 (Entity type: Individual)
- **Enumerated:** April 22, 2021
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** DR.0073356 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Physicians Incorporated (NPI 1083662498, Aurora, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124600739) · Data from the CMS NPPES public registry.