KAREN CARVALHO MD
NPI 1467474429
Psychiatry & Neurology - Clinical Neurophysiology in Philadelphia, PA
About Karen Carvalho Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN CARVALHO MD (NPI 1467474429) is an individual clinical neurophysiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD430771) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sewell, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karen Carvalho 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.
Medicare Billing Reassignments
5Medicare enrollment records show Karen Carvalho reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1972299741 (New Jersey)
- 479 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Delaware enrollment
- 526 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Deptford, NJ 08096
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Nemours New Jersey Physician Practice PC
- 183 clinicians in this Medicare group
Glassboro, NJ 08028
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Inspira Health Network Medical Group PC
- 258 clinicians in this Medicare group
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Carvalho's NPI number?
The NPI number for Karen Carvalho is 1467474429. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Karen Carvalho located?
Karen Carvalho practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.
What is Karen Carvalho's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.
Is Karen Carvalho enrolled in Medicare?
Yes. Karen Carvalho 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.
Which organizations bill Medicare for Karen Carvalho's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Carvalho reassigns Medicare benefits to 5 organizations: Stc Pediatrics LLC (Philadelphia, PA), The Nemours Foundation (Philadelphia, PA), Tower Health Medical Group (Philadelphia, PA), Nemours New Jersey Physician Practice, P.C. (Deptford, NJ) and Inspira Health Network Medical Group, P.C. (Glassboro, NJ). Each 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 Karen Carvalho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Carvalho accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 2 other insurers list Karen Carvalho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Karen Carvalho was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Karen Carvalho, MD · NPI 1467474429
Clinical Neurophysiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1467474429 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Psychiatry & Neurology - Clinical Neurophysiology · taxonomy 2084N0600X
- **State license:** MD430771 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA); The Nemours Foundation (NPI 1902959653, Philadelphia, PA); Tower Health Medical Group (NPI 1306476924, Philadelphia, PA); Nemours New Jersey Physician Practice, P.C. (NPI 1265874713, Deptford, NJ); Inspira Health Network Medical Group, P.C. (NPI 1922177856, Glassboro, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** April 12, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1467474429) · Data from the CMS NPPES public registry.