KARLA GOULART NEWBOLD M.D.
NPI 1366609547
Emergency Medicine in Mishawaka, IN

Active since May 16, 2008PECOS EnrolledAccepts Medicare Assignment
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2025, Jul 3, 2024, Nov 5, 2023 (3 updates tracked since 2023).

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

NPI1366609547
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKARLA GOULART NEWBOLDCredential: M.D.
Location Address5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENTMishawaka, IN 46545-1469
Mailing Address5215 Holy Cross Pkwy, Emergency DepartmentMishawaka, IN 46545-1469 · (574) 335-5000
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 2007
Enumeration DateMay 16, 2008
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1366609547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MI · 4301111525 Licensed in IN · 01069152A
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301111525 (MI)
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 4301111525 (MI)
Also ListedInternal MedicineTaxonomy 207R00000X · License 125-053063 (IL)
5215 HOLY CROSS PKWY, Mishawaka, IN 46545

Secondary Practice Location 1

Location 15515 Cleveland Ave Ste 5Stevensville, MI 49127-9669 · Phone (269) 429-9677 · Fax (269) 429-4002

Other Identifiers 1

Medicaid201012560IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

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.

PECOS PAC ID9436332673
PECOS Enrollment IDI20170818000339
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
130 services117 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
75 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services50 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services18 patients

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, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
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.

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 2 other insurers 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 with the weekly NPPES data releases published by CMS.