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KARL J D'SILVA M.D.
NPI 1598711160
Internal Medicine - Hematology & Oncology in Peabody, MA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
1 ESSEX CENTER DR, PEABODY, MA 01960(978) 538-4330(978) 538-4710 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 11, 2019, Mar 18, 2019 (2 updates tracked since 2019).

About Karl J D'silva M.d. NPPES

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

KARL J D'SILVA M.D. (NPI 1598711160) is an individual hematology & oncology provider in Peabody, Massachusetts, licensed in Massachusetts (228157) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1598711160
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKARL J D'SILVACredential: M.D.
Location Address1 ESSEX CENTER DRPeabody, MA 01960-2901
Mailing AddressLahey Clinic, 41 Mall Rd.Burlington, MA 01805-0001 · (781) 744-4330
Phone(978) 538-4330
Fax(978) 538-4710
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration
✔ NPI 1598711160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in MA · 228157✔ Licensed in NH · 14410
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 228157 (MA)
1 ESSEX CENTER DR, Peabody, MA 01960
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Other Identifiers 1

Medicaid110082867AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Karl J D'silva 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 ID9335237866
PECOS Enrollment IDI20090720000375
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
621 services265 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01960 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims1,480 services$0.66 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$19.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANITA A ERLER M.D.
Internal Medicine
1 ESSEX CENTER DR, LAHEY NORTHSHORE
PEABODY, MA 01960
Essex County (978) 538-4300
ALISON LOCKE
Social Worker (Clinical)
1 ESSEX CENTER DR, LAHEY MEDICAL CENTER, PEABODY
PEABODY, MA 01960
Essex County (781) 744-8780
DONALD R CHABOT MD
Emergency Medicine
1 ESSEX CENTER DR, LAHEY NORTHSHORE
PEABODY, MA 01960
Essex County (978) 538-4600
LAHEY CLINIC, INC
Internal Medicine
1 ESSEX CENTER DR
PEABODY, MA 01960
Essex County (781) 744-8000
EVELYN S DELEGAS CCC-A
Audiologist
1 ESSEX CENTER DR, LAHEY NORTHSHORE
PEABODY, MA 01960
Essex County (978) 538-4361
ANDREW SHAHEEN PA
Physician Assistant
1 ESSEX CENTER DR
PEABODY, MA 01960
Essex County (978) 538-4000
JENNIFER CARISSA HANOWELL DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1 ESSEX CENTER DR, 4TH FLOOR
PEABODY, MA 01960
Essex County (978) 538-3600
JESSICA LEIGH POULIN
Dietitian, Registered
1 ESSEX CENTER DR
PEABODY, MA 01960
Essex County (978) 538-4000

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 Karl D'silva's NPI number?

The NPI number for Karl D'silva is 1598711160. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Karl D'silva located?

Karl D'silva practices at 1 Essex Center Dr, Peabody, MA 01960. The listed phone number is (978) 538-4330.

What is Karl D'silva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Karl D'silva enrolled in Medicare?

Yes. Karl D'silva 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 Karl D'silva accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Karl D'silva 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 Karl D'silva affiliated with any hospitals?

According to CMS data, Karl D'silva is affiliated with Anna Jaques Hospital, Northeast Hospital Corporation, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Karl D'silva was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.