KARLA GOULART NEWBOLD M.D.
NPI 1366609547
Emergency Medicine in Mishawaka, IN
About Karla Goulart Newbold M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARLA GOULART NEWBOLD M.D. (NPI 1366609547) is an individual emergency medicine provider in Mishawaka, Indiana, licensed in Michigan (4301111525) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in Stevensville.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Group Practice 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
Karla Goulart Newbold 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 Reassignments
3Medicare enrollment records show Karla Newbold reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 57 clinicians in this Medicare group
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 42 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 5
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MICorewell Health Watervliet Hospital
Acute Care Hospitals · Watervliet, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46545 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.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
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 Karla Newbold's NPI number?
The NPI number for Karla Newbold is 1366609547. It was assigned to this individual provider in the NPPES registry on May 16, 2008.
Where is Karla Newbold located?
Karla Newbold practices at 5215 Holy Cross Pkwy Emergency Department, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.
What is Karla Newbold's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Karla Newbold enrolled in Medicare?
Yes. Karla Newbold 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 organizations bill Medicare for Karla Newbold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karla Newbold reassigns Medicare benefits to 3 organizations: Lakeland Community Hospital Watervliet (Niles, MI), Lakeland Medical Practices (Niles, MI) and Epmg Southwest Michigan PLLC (Saint Joseph, MI). Each 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 Karla Newbold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karla Newbold accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Karla Newbold 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 Karla Newbold affiliated with any hospitals?
According to CMS data, Karla Newbold is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.
When was this NPI record last updated?
The NPPES record for Karla Newbold was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Karla Goulart Newbold, M.D. · NPI 1366609547
Emergency Medicine physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since May 16, 2008.
## Identity
- **NPI:** 1366609547 (Entity type: Individual)
- **Enumerated:** May 16, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301111525 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, Mishawaka, IN 46545-1469
- **Phone:** (574) 335-5000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Lakeland Community Hospital Watervliet (NPI 1538592753, Niles, MI); Lakeland Medical Practices (NPI 1134898505, Niles, MI); Epmg Southwest Michigan PLLC (NPI 1316405103, Saint Joseph, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2007
## Record status
- **NPPES last updated:** September 16, 2025
- **Other identifiers:** Medicaid 201012560 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366609547) · Data from the CMS NPPES public registry.