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DR. CARLA MAVOURNEEN SCHWALM M.D.
NPI 1174722912
Pediatrics - Pediatric Hematology-Oncology in Kalamazoo, MI

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
601 JOHN ST, SUITE M-005, KALAMAZOO, MI 49007(269) 341-6350(269) 341-8580 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2020, Jan 29, 2016 (2 updates tracked since 2016).

About Dr. Carla Mavourneen Schwalm M.d. NPPES

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

DR. CARLA MAVOURNEEN SCHWALM M.D. (NPI 1174722912) is an individual pediatric hematology-oncology provider in Kalamazoo, Michigan, licensed in Iowa (38863) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1174722912
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. CARLA MAVOURNEEN SCHWALMCredential: M.D.
Location Address601 JOHN ST, SUITE M-005Kalamazoo, MI 49007-5341
Mailing Address601 John St, Suite M-005Kalamazoo, MI 49007-5341 · (269) 341-6350 · Fax (269) 341-8580
Phone(269) 341-6350
Fax(269) 341-8580
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateJuly 12, 2007
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1174722912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in IA · 38863
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 4301089412 (MI)
601 JOHN ST, Kalamazoo, MI 49007
Open in Google Maps ↗

Other Identifiers 2

Other175150040IA · Medicare
Medicaid1174722912IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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

Dr. Carla Mavourneen Schwalm M.d. 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 ID4183749815
PECOS Enrollment IDI20160219000845
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

DR. AMANDA KEATING WALKER D.O.
Obstetrics & Gynecology
601 JOHN ST, SUITE N1200
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7979
ANDREW W. WALKER MD
Emergency Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (847) 404-6853
JUSTINE MELODIE OUDSEMA PA-C
Physician Assistant
601 JOHN ST, BOX 74
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-8481
OCHUKO ANDREW OGHOR CRNA
Nurse Anesthetist, Certified Registered
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (239) 341-7654
MARK J TIESZEN MD
Internal Medicine (Critical Care Medicine)
601 JOHN ST, SUITE M-510
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7762
DR. ERIC S SHAY M.D.
Internal Medicine
601 JOHN ST, SUITE M-170
KALAMAZOO, MI 49007
Kalamazoo County (269) 381-5060
EVGENIIA MORLEY RD
Dietitian, Registered
601 JOHN ST
KALAMAROO, MI 49007
Kalamazoo County (269) 341-6615
SELECT HOSPITALISTS, PLLC
Internal Medicine
601 JOHN ST
KALAMAZOO, MI 49007
Kalamazoo County (269) 341-7100

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 Carla Schwalm's NPI number?

The NPI number for Carla Schwalm is 1174722912. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Carla Schwalm located?

Carla Schwalm practices at 601 John St Suite M-005, Kalamazoo, MI 49007. The listed phone number is (269) 341-6350.

What is Carla Schwalm's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Carla Schwalm enrolled in Medicare?

Yes. Carla Schwalm 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 Carla Schwalm accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Carla Schwalm 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 Carla Schwalm was last updated on November 27, 2023. 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.