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KAREN PUOPOLO MD PHD
NPI 1225095656
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since April 28, 2006PECOS Enrolled
800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-3191(215) 829-7211 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen Puopolo Md Phd NPPES

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

KAREN PUOPOLO MD PHD (NPI 1225095656) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD450248) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225095656
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKAREN PUOPOLOCredential: MD PHD
Location Address800 SPRUCE STPhiladelphia, PA 19107-6130
Mailing Address100 E Penn Sq, Wanamaker Bldg - 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9232 · Fax (267) 425-9299
Phone(215) 829-3191
Fax(215) 829-7211
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateDecember 9, 2013
✔ NPI 1225095656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · MD450248
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
800 SPRUCE ST, Philadelphia, PA 19107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Puopolo Md Phd 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 Karen Puopolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care Associates, Inc
2.0 mi
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

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.

JENNA SNYDER MD
Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (856) 803-3694
MR. ANTHONY JOHN CORDISCO
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
PEDRO GONZALEZ-ALEGRE MD
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CATRINA JONES CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
KATHLEEN M VELOSO MD
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
MICHELLE RAE HALVORSEN CRNP
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3301
MOHAMMAD M SARHAN MD
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410
NEEPA SHAH MD
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410

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 Karen Puopolo's NPI number?

The NPI number for Karen Puopolo is 1225095656. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Karen Puopolo located?

Karen Puopolo practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-3191.

What is Karen Puopolo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Karen Puopolo enrolled in Medicare?

Yes. Karen Puopolo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Puopolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Puopolo reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). 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 Karen Puopolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Puopolo accept?

Health plans from Taro Health list Karen Puopolo 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 Karen Puopolo was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.