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KEVIN P CARNEVALE JR. M.D.
NPI 1609296722
Obstetrics & Gynecology in San Bernardino, CA

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
1364 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 361-3061(909) 677-2113 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2020, Jan 28, 2019, Jan 21, 2019 and 2 more (5 updates tracked since 2018).

About Kevin P Carnevale Jr. M.d. NPPES

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

KEVIN P CARNEVALE JR. M.D. (NPI 1609296722) is an individual obstetrics & gynecology provider in San Bernardino, California, licensed in California (A140393) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609296722
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKEVIN P CARNEVALE JR.Credential: M.D.
Location Address1364 N WATERMAN AVESan Bernardino, CA 92404-5313
Mailing Address1800 Western Ave Ste 204San Bernardino, CA 92411-1353 · (909) 474-9952 · Fax (909) 474-9951
Phone(909) 361-3061
Fax(909) 677-2113
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateSeptember 24, 20205 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1609296722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A140393
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1364 N WATERMAN AVE, San Bernardino, CA 92404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11800 Western Ave Ste 204San Bernardino, CA 92411-1353 · Phone (909) 474-9952 · Fax (909) 474-9951
Location 216465 Sierra Lakes Pkwy Ste 245Fontana, CA 92336-1267 · Phone (909) 350-3003 · Fax (909) 565-4129

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

Kevin P Carnevale Jr. 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 ID5496131500
PECOS Enrollment IDI20220927002478
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 92404 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD TANG PA-C
Physician Assistant
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 474-9952
JULIA ALEJANDRA LOZANO CEJA
Marriage & Family Therapist
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 688-6151
WATERMAN MEDICAL SUPPLY INC
Durable Medical Equipment & Medical Supplies
1364 N WATERMAN AVE, # 105
SAN BERNARDINO, CA 92404
San Bernardino County (909) 383-7284
MRS. SILVIA BARR PA-C
Physician Assistant
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-3061
BRITTANEY M WILSON-HARRIS MD
Obstetrics & Gynecology
1364 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 361-3061

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 Kevin Carnevale's NPI number?

The NPI number for Kevin Carnevale is 1609296722. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Kevin Carnevale located?

Kevin Carnevale practices at 1364 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 361-3061.

What is Kevin Carnevale's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Carnevale enrolled in Medicare?

Yes. Kevin Carnevale 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.

When was this NPI record last updated?

The NPPES record for Kevin Carnevale was last updated on September 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.