DR. CARLY ANNIE STILPHEN MD
NPI 1366948952
Pediatrics - Pediatric Critical Care Medicine in Providence, RI

Q: What is Carly Stilphen's NPI number?

The NPI number for Carly Stilphen is 1366948952. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Carly Stilphen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Carly Stilphen was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 02, 2018PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-6195(401) 444-6378 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Carly Annie Stilphen Md NPPES

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

DR. CARLY ANNIE STILPHEN MD (NPI 1366948952) is an individual pediatric critical care medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD19936) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1366948952

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. CARLY ANNIE STILPHENCredential: MD

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 444-6195

Fax(401) 444-6378

Sole ProprietorNo

Enumeration DateApril 2, 2018

Last NPPES UpdateMay 21, 2024

NPPES CertifiedJuly 6, 2021

✔ NPI 1366948952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in RI · MD19936

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MD19936 (RI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

593 EDDY ST, Providence, RI 02903

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Secondary Practice Location 1

Location 14401 Penn Avenue, Suite 02000, Faculty PavillionPittsburgh, PA 15224 · Phone (412) 647-3136

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carly Annie Stilphen Md 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 Carly Stilphen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Hospital

Same address

Pediatrics

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
265 clinicians in this Medicare group

NPI 1861420333 (401) 444-6195

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 Carly Stilphen's NPI number?

The NPI number for Carly Stilphen is 1366948952. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Carly Stilphen located?

Carly Stilphen practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6195.

What is Carly Stilphen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Carly Stilphen enrolled in Medicare?

Yes. Carly Stilphen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Stilphen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Stilphen reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). 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 Carly Stilphen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Stilphen was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.