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JUAN E CARBALLO M.D
NPI 1497983134
Pediatrics in San Antonio, TX

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
207 E. EVERGREEN ST., SAN ANTONIO, TX 78218(210) 223-3543(210) 924-1374 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, May 21, 2020 (2 updates tracked since 2020).

About Juan E Carballo M.d NPPES

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

JUAN E CARBALLO M.D (NPI 1497983134) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (P2834) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1497983134
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJUAN E CARBALLOCredential: M.D
Location Address207 E. EVERGREEN ST.San Antonio, TX 78218
Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 227-0282
Phone(210) 223-3543
Fax(210) 924-1374
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 1, 2009
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1497983134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · P2834
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
207 E. EVERGREEN ST., San Antonio, TX 78218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Juan E Carballo M.d 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 ID3476882713
PECOS Enrollment IDI20190911001719
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78218 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Juan Carballo's NPI number?

The NPI number for Juan Carballo is 1497983134. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Juan Carballo located?

Juan Carballo practices at 207 E. Evergreen St., San Antonio, TX 78218. The listed phone number is (210) 223-3543.

What is Juan Carballo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Juan Carballo enrolled in Medicare?

Yes. Juan Carballo 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.

What insurance does Juan Carballo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Juan Carballo 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 Juan Carballo was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.