DR. ALEXANDRE MACHADO DE SANT'ANNA CARVALHO MD, MPH
NPI 1386140325
Hospitalist in Chicago, IL

Q: What is Alexandre Carvalho's NPI number?

The NPI number for Alexandre Carvalho is 1386140325. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Q: What is Alexandre Carvalho's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since March 30, 2018PECOS Enrolled

94.1/100

CMS Quality Rating

676 N SAINT CLAIR ST STE 940, CHICAGO, IL 60611(312) 926-8358(312) 926-9630 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2021, Mar 30, 2018 (2 updates tracked since 2018).

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About Dr. Alexandre Machado De Sant'anna Carvalho Md, Mph NPPES

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

DR. ALEXANDRE MACHADO DE SANT'ANNA CARVALHO MD, MPH (NPI 1386140325) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036156457) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386140325

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. ALEXANDRE MACHADO DE SANT'ANNA CARVALHOCredential: MD, MPH

Location Address676 N SAINT CLAIR ST STE 940Chicago, IL 60611-2945

Mailing Address676 N Saint Clair St Ste 940Chicago, IL 60611-2945 · (312) 926-8358 · Fax (312) 926-9630

Phone(312) 926-8358

Fax(312) 926-9630

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 30, 2018

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

NPPES CertifiedJune 30, 2023

✔ NPI 1386140325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036156457

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 036156457 (IL)

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

676 N SAINT CLAIR ST STE 940, Chicago, IL 60611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandre Machado De Sant'anna Carvalho Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173872637

PECOS Enrollment IDI20231120001753

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 Alexandre Carvalho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center

713 mi

Family Medicine

2633 BROADWAY
New York, NY 10025

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1760288278 (888) 663-6331

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

51 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

44 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services34 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

16 services16 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.

14 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP PASQUALE SANTOIEMMA M.D.

Internal Medicine (Infectious Disease)