CAROL ULLOA MD
NPI 1548435423
Psychiatry & Neurology - Neurology in Wilkes Barre, PA
About Carol Ulloa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL ULLOA MD (NPI 1548435423) is an individual neurology provider in Wilkes Barre, Pennsylvania, licensed in Massachusetts (224929) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Carol Ulloa 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 Reassignment
Medicare enrollment records show Carol Ulloa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kansas City, KS 66160
- Reassigned Medicare billing, Kansas enrollment
- 2,139 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WILKES BARRE, PA 18711
WILKES BARRE, PA 18711
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 Carol Ulloa's NPI number?
The NPI number for Carol Ulloa is 1548435423. It was assigned to this individual provider in the NPPES registry on April 23, 2008.
Where is Carol Ulloa located?
Carol Ulloa practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-6026.
What is Carol Ulloa's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Carol Ulloa enrolled in Medicare?
Yes. Carol Ulloa 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 organization bills Medicare for Carol Ulloa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Ulloa reassigns Medicare benefits to Kansas University Physicians Inc (Kansas City, KS). 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 Carol Ulloa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Ulloa accept?
Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Carol Ulloa 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.
Is Carol Ulloa affiliated with any hospitals?
According to CMS data, Carol Ulloa is affiliated with University Of Kansas Hospital.
When was this NPI record last updated?
The NPPES record for Carol Ulloa was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Carol Ulloa, MD · NPI 1548435423
Neurology physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1548435423 (Entity type: Individual)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 224929 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711-0027
- **Phone:** (570) 808-6026
## 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:** Kansas University Physicians Inc (NPI 1053457978, Kansas City, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Kansas City, School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** January 30, 2014
- **Other identifiers:** Other 10077692 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1548435423) · Data from the CMS NPPES public registry.