MARIA TERESA PEREZ CARBALLO M.D.
NPI 1508277013
Pediatrics - Pediatric Cardiology in Providence, RI
About Maria Teresa Perez Carballo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA TERESA PEREZ CARBALLO M.D. (NPI 1508277013) is an individual pediatric cardiology provider in Providence, Rhode Island, licensed in Rhode Island (MD17276) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maria Teresa Perez Carballo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maria Perez Carballo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02903
- Reassigned Medicare billing, Massachusetts enrollment
- 55 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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Maria Perez Carballo's NPI number?
The NPI number for Maria Perez Carballo is 1508277013. It was assigned to this individual provider in the NPPES registry on May 19, 2014.
Where is Maria Perez Carballo located?
Maria Perez Carballo practices at 1 Hoppin St, Providence, RI 02903. The listed phone number is (401) 444-4612.
What is Maria Perez Carballo's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Maria Perez Carballo enrolled in Medicare?
Yes. Maria Perez Carballo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maria Perez Carballo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maria Perez Carballo reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). The 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 Maria Perez Carballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maria Perez Carballo was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Maria Teresa Perez Carballo, M.D. · NPI 1508277013
Pediatric Cardiology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since May 19, 2014.
## Identity
- **NPI:** 1508277013 (Entity type: Individual)
- **Enumerated:** May 19, 2014
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD17276 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HOPPIN ST, Providence, RI 02903-4141
- **Phone:** (401) 444-4612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1508277013) · Data from the CMS NPPES public registry.