RICHARD E CARBALLO M.D.
NPI 1245208644
Surgery - Vascular Surgery in Milwaukee, WI

Q: 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.

Q: What is Richard Carballo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: 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.

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment

2801 W KK RIVER PKWY, SUITE 330, MILWAUKEE, WI 53215(414) 649-3240(414) 649-3244 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1245208644

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameRICHARD E CARBALLOCredential: M.D.

Location Address2801 W KK RIVER PKWY, SUITE 330Milwaukee, WI 53215-3669

Mailing Address2801 W Kk River Pkwy, Suite 330Milwaukee, WI 53215-3669 · (414) 649-3240 · Fax (414) 649-3244

Phone(414) 649-3240

Fax(414) 649-3244

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988

Enumeration DateMarch 10, 2006

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1245208644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in WI · 34732

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2801 W KK RIVER PKWY, Milwaukee, WI 53215

Open in Google Maps ↗

Other Identifiers 1

Medicaid32104600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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

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.

PECOS PAC ID3274445937

PECOS Enrollment IDI20060202000426

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

135 services121 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

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, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

WILLIAM R DESHUR M.D.

Surgery

2801 W KK RIVER PKWY, SUITE 330
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3240

VANESSA LEIGH CAIN MSN RN

Registered Nurse

2801 W KK RIVER PKWY, SUITE 245
MILWAUKEE, WI 53215

Milwaukee County (414) 649-6780

ALISON VIDA NP

Nurse Practitioner

2801 W KK RIVER PKWY, SUITE 930
MILWAUKEE, WI 53215

Milwaukee County (414) 384-5111

DALE A WAAS P.A.

Physician Assistant (Surgical)

2801 W KK RIVER PKWY, SUITE 330
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3240

SOUTHEAST SURGICAL, S.C.

Surgery

2801 W KK RIVER PKWY, SUITE 330
MILWAUKEE, WI 53215

Milwaukee County (414) 649-3240

AURORA MEDICAL GROUP, INC.

Durable Medical Equipment & Medical Supplies

2801 W KK RIVER PKWY, STE 525
MILWAUKEE, WI 53215

Milwaukee County (414) 649-7900

JANICE E ZAMJAHN RN

Registered Nurse (Diabetes Educator)

2801 W KK RIVER PKWY, SUITE 245
MILWAUKEE, WI 53215

Milwaukee County (414) 385-2448

PAUL PRUESSING PA

Physician Assistant

2801 W KK RIVER PKWY, SUITE 1030
MILWAUKEE, WI 53215

Milwaukee County (414) 908-6500

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.

What insurance does Richard Carballo accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz 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.