RICHARD E CARBALLO M.D.
NPI 1245208644
Surgery - Vascular Surgery in Milwaukee, WI
About Richard E Carballo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD E CARBALLO M.D. (NPI 1245208644) is an individual vascular surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (34732) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 and accepts Medicare assignment
Richard E Carballo 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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Carballo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Memorial Hospital Burlington
Acute Care Hospitals · Burlington, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIWest Allis Memorial Hospital
Acute Care Hospitals · West Allis, WIAurora Medical Center Kenosha
Acute Care Hospitals · Kenosha, WIAurora Medical Center
Acute Care Hospitals · Grafton, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53215
MILWAUKEE, WI 53215
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 Richard Carballo's NPI number?
The NPI number for Richard Carballo is 1245208644. It was assigned to this individual provider in the NPPES registry on March 10, 2006.
Where is Richard Carballo located?
Richard Carballo practices at 2801 W Kk River Pkwy Suite 330, Milwaukee, WI 53215. The listed phone number is (414) 649-3240.
What is Richard Carballo's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Richard Carballo enrolled in Medicare?
Yes. Richard Carballo 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.
Which organization bills Medicare for Richard Carballo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Carballo reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). 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 Richard Carballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Carballo accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Richard Carballo 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.
Is Richard Carballo affiliated with any hospitals?
According to CMS data, Richard Carballo is affiliated with Aurora Memorial Hospital Burlington, Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha and Aurora Medical Center.
When was this NPI record last updated?
The NPPES record for Richard Carballo was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Richard E Carballo, M.D. · NPI 1245208644
Vascular Surgery physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1245208644 (Entity type: Individual)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 34732 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2801 W KK RIVER PKWY, SUITE 330, Milwaukee, WI 53215-3669
- **Phone:** (414) 649-3240 · **Fax:** (414) 649-3244
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1988
## Record status
- **NPPES last updated:** December 21, 2021
- **Other identifiers:** Medicaid 32104600 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1245208644) · Data from the CMS NPPES public registry.