KAREN AMERICA TORIBIO
NPI 1619141108
Internal Medicine - Rheumatology in New Orleans, LA

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121(504) 842-3920 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Karen America Toribio NPPES

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

KAREN AMERICA TORIBIO (NPI 1619141108) is an individual rheumatology provider in New Orleans, Louisiana, licensed in Louisiana (MD.207128) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2008).

NPPES Registry Identity

NPI1619141108
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameKAREN AMERICA TORIBIO
Location Address1514 JEFFERSON HWYNew Orleans, LA 70121-2429
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2008
Enumeration DateApril 16, 2008
Last NPPES UpdateNovember 20, 2015
✔ NPI 1619141108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in LA · MD.207128
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1514 JEFFERSON HWY, New Orleans, LA 70121

Other Identifiers 4

Medicaid2372220LA
Medicaid08438846MS
Medicare PIN362380YH3ULA
Medicare PIN362380YH3VLA

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

Karen America Toribio 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 ID5496974164
PECOS Enrollment IDI20140910002219
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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Toribio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Pediatrics
1514 JEFFERSON HWY
New Orleans, LA 70121
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 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 5

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 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 services76 patients
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.
61 services52 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.
19 services19 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.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190079
Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County
Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

St Bernard Parish Hospital

Acute Care Hospitals · Chalmette, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190308
Location8000 West Judge Perez DriveChalmette, LA 70043 · St. Bernard County
Emergency services

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS
OwnershipGovernment - Local
CMS Certification Number250162
Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Surgery
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Pediatrics, Critical Care)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Pediatrics)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Anesthetist, Certified Registered
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Cardiovascular Disease)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121

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 Karen Toribio's NPI number?

The NPI number for Karen Toribio is 1619141108. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Karen Toribio located?

Karen Toribio practices at 1514 Jefferson Hwy, New Orleans, LA 70121. The listed phone number is (504) 842-3920.

What is Karen Toribio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Karen Toribio enrolled in Medicare?

Yes. Karen Toribio 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 Karen Toribio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Toribio reassigns Medicare benefits to Ochsner Clinic LLC (New Orleans, LA). 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 Karen Toribio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Toribio accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Karen Toribio 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 Karen Toribio affiliated with any hospitals?

According to CMS data, Karen Toribio is affiliated with Ochsner Medical Center Acute, St Charles Parish Hospital, Ochsner Medical Center-Kenner, St Bernard Parish Hospital and Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for Karen Toribio was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.