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CARLOS ALEXANDER CEVALLOS
NPI 1174107585
Emergency Medicine in Camden, NJ

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2352 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Apr 13, 2022, May 11, 2021 (3 updates tracked since 2021).

About Carlos Alexander Cevallos NPPES

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

CARLOS ALEXANDER CEVALLOS (NPI 1174107585) is an individual emergency medicine provider in Camden, New Jersey, licensed in Virginia (0101285002) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1174107585
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLOS ALEXANDER CEVALLOS
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Cooper PlzCamden, NJ 08103-1461 · (856) 342-2352
Phone(856) 342-2352
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2022
Enumeration DateMay 11, 2021
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1174107585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0101285002
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 COOPER PLZ, Camden, NJ 08103
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (804) 482-9997
Location 21755 N Mecklenburg AveSouth Hill, VA 23970-4080 · Phone (434) 447-3151 · Fax (434) 584-5023
Location 3618 Hospital RdTappahannock, VA 22560-5000 · Phone (804) 443-6297 · Fax (804) 443-6161
Location 41250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-0996 · Fax (804) 628-0384
Location 52495 Pocahontas TrlQuinton, VA 23141-1637 · Phone (804) 932-5500 · Fax (804) 932-5531

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

Carlos Alexander Cevallos 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 ID9537676705
PECOS Enrollment IDI20250731000068
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.

Hospital Affiliations CMS Care Compare 3

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

RACHEL EISENBROCK CHASE DO
Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-2000
MELANIE LAFFERTY CRNA
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 963-6770
DR. MARIA CASSOTIS D.O
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (484) 832-7271
DR. AFAF A. ANTER D.O
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Camden County (856) 342-3150
MRS. KASEY LYN MASSA LCSW
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-2000
MS. ANNE KIM MSN, RN, AGACNP-BC
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 968-7449
REBECA ARAUJO KELLY MD
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (631) 671-8540
PATRICK KEENAN PA-C
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-3150

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 Cevallos's NPI number?

The NPI number for Carlos Cevallos is 1174107585. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Carlos Cevallos located?

Carlos Cevallos practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2352.

What is Carlos Cevallos's specialty?

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

Is Carlos Cevallos enrolled in Medicare?

Yes. Carlos Cevallos 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.

Is Carlos Cevallos affiliated with any hospitals?

According to CMS data, Carlos Cevallos is affiliated with Medical College Of Virginia Hospitals, Vcu Health Tappahannock Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Cevallos was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.