KAREN L GARIBALDI MD
NPI 1396741682
Internal Medicine in Grandville, MI

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
6105 WILSON AVE SW, SUITE 204, GRANDVILLE, MI 49418(616) 486-5421(616) 486-5051 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2026, Nov 4, 2024, May 26, 2023 and 3 more (6 updates tracked since 2021).

About Karen L Garibaldi Md NPPES

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

KAREN L GARIBALDI MD (NPI 1396741682) is an individual internal medicine provider in Grandville, Michigan, licensed in Rhode Island (MD18908) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of University Of Connecticut School Of Medicine (1996).

NPPES Registry Identity

NPI1396741682
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN L GARIBALDICredential: MD
Location Address6105 WILSON AVE SW, SUITE 204Grandville, MI 49418-9714
Mailing Address225 5th StProvidence, RI 02906-3763
Fax(616) 486-5051
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1996
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 15, 20266 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1396741682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in RI · MD18908 Licensed in MI · 4301095441
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 4301095441 (MI)
6105 WILSON AVE SW, Grandville, MI 49418

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

Karen L Garibaldi Md 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 ID6002897774
PECOS Enrollment IDI20230419001637
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 4

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
154 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
18 services18 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers25 claims25 services$197.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
6105 WILSON AVE SW
GRANDVILLE, MI 49418
Internal Medicine
6105 WILSON AVE SW, SUITE 202
WYOMING, MI 49418
Emergency Medicine
6105 WILSON AVE SW
GRANDVILLE, MI 49418
Physician Assistant
6105 WILSON AVE SW, SUITE 101
WYOMING, MI 49418
Physician Assistant
6105 WILSON AVE SW
GRANDVILLE, MI 49418
Physician Assistant
6105 WILSON AVE SW
GRANDVILLE, MI 49418
Physician Assistant
6105 WILSON AVE SW
GRANDVILLE, MI 49418
Durable Medical Equipment & Medical Supplies
6105 WILSON AVE SW
WYOMING, MI 49418

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 Karen Garibaldi's NPI number?

The NPI number for Karen Garibaldi is 1396741682. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Karen Garibaldi located?

Karen Garibaldi practices at 6105 Wilson Ave SW Suite 204, Grandville, MI 49418. The listed phone number is (616) 486-5421.

What is Karen Garibaldi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Garibaldi enrolled in Medicare?

Yes. Karen Garibaldi 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.

Is Karen Garibaldi affiliated with any hospitals?

According to CMS data, Karen Garibaldi is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Karen Garibaldi was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.