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

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: August 09, 2026.

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
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)
593 EDDY ST, Providence, RI 02903

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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.

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.