KAREN CARVALHO MD
NPI 1467474429
Psychiatry & Neurology - Clinical Neurophysiology in Philadelphia, PA
NPI Status: Active since July 25, 2006
Contact Information
160 E ERIE AVE
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-5000
- Individual
- Female
- Years of Experience 29
- Psychiatry & Neurology
- Clinical Neurophysiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KAREN CARVALHO
This page provides the complete NPI Profile along with additional information for Karen Carvalho, a provider established in Philadelphia, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in clinical neurophysiology and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1467474429 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0600X with license number MD430771 (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1467474429
- Provider Name
- KAREN CARVALHO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 160 E ERIE AVE PHILADELPHIA, PA 19134
- Location Phone
- (215) 427-5000
- Mailing Address
- PO BOX 13579 READING, PA 19612
- Mailing Phone
- (484) 628-1324
- Medical School Name
- OTHER
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 04-12-2023
- Code Navigator
Location Map
Secondary Locations
- 100 Kings Way E Ste C
Sewell, NJ 08080
(856) 582-0644
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Clinical Neurophysiology
- Taxonomy Code
- 2084N0600X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD430771
- License State
- PA
- Taxonomy Description
- Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 25MA09623200 (NJ) |
| 2 | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MD430771 (PA) |
| 3 | 2084N0600X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 25MA09623200 (NJ) |
| 4 | 2084S0012X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 25MA09623200 (NJ) |
| 5 | 2084S0012X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MD430771 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access Select PPO Bronze 3800 - PPO
- my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Bronze 9200 - PPO
- my Blue Access Select PPO Gold 0 - PPO
- my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Gold 1700 HSA - PPO
- my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Standard Bronze 7500 - PPO
- my Blue Access Select PPO Standard Gold 2000 - PPO
- my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access Select PPO Standard Platinum 0 - PPO
- my Blue Access Select PPO Standard Silver 6000 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Karen Carvalho is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Karen Carvalho is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1850341769
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231020000098
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1467474429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467474429, enumerated as an "individual" on July 25, 2006.
The provider is located at 160 E ERIE AVE PHILADELPHIA, PA 19134 and the phone number is (215) 427-5000.
Psychiatry & Neurology with taxonomy code 2084N0600X and a focus in Clinical Neurophysiology.
The provider might be accepting Accepts: AmeriHealth Caritas Next and Highmark Blue Cross. Please consult your insurance carrier or call the provider to verify.
