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DR. MARY ANN PELINO CARROLL M.D.
NPI 1215987540
Specialist in Irvine, CA

Active since May 10, 2006PECOS Enrolled
6650 ALTON PARKWAY, MOB2 3RD FLOOR, KAISER PERMANENTE OBSTETRICS & GYNECOLOGY, IRVINE, CA 92618(949) 932-5655(949) 932-6348 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Dec 1, 2021, Nov 19, 2019 (3 updates tracked since 2019).

About Dr. Mary Ann Pelino Carroll M.d. NPPES

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

DR. MARY ANN PELINO CARROLL M.D. (NPI 1215987540) is an individual specialist in Irvine, California, licensed in California (A76094) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215987540
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. MARY ANN PELINO CARROLLCredential: M.D.
Location Address6650 ALTON PARKWAY, MOB2 3RD FLOOR, KAISER PERMANENTE OBSTETRICS & GYNECOLOGYIrvine, CA 92618
Mailing Address6650 Alton Parkway, 3rd Floor, Kaiser Permanente Orange County Obstetrics & GynecologyIrvine, CA 92618
Phone(949) 932-5655
Fax(949) 932-6348
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1215987540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A76094
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6650 ALTON PARKWAY, MOB2 3RD FLOOR, Irvine, CA 92618
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Other Names 1

Professional Name (2)Dr. Maryann Pelino M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ann Pelino Carroll M.d. 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 Reassignment

Medicare enrollment records show Mary Ann Pelino Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
14 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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

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 Mary Ann Pelino Carroll's NPI number?

The NPI number for Mary Ann Pelino Carroll is 1215987540. It was assigned to this individual provider in the NPPES registry on May 10, 2006. The provider is also known as Dr. Maryann Pelino M.D..

Where is Mary Ann Pelino Carroll located?

Mary Ann Pelino Carroll practices at 6650 Alton Parkway, Mob2 3rd Floor Kaiser Permanente Obstetrics & Gynecology, Irvine, CA 92618. The listed phone number is (949) 932-5655.

What is Mary Ann Pelino Carroll's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mary Ann Pelino Carroll enrolled in Medicare?

Yes. Mary Ann Pelino Carroll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Ann Pelino Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ann Pelino Carroll reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). 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 Mary Ann Pelino Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Ann Pelino Carroll was last updated on March 7, 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.