CAROLINA ELLINGER DA FONSECA MD
NPI 1689253403
Pediatrics in San Francisco, CA

Q: What is Carolina Ellinger Da Fonseca's NPI number?

The NPI number for Carolina Ellinger Da Fonseca is 1689253403. It was assigned to this individual provider in the NPPES registry on April 7, 2021. The provider is also known as Carolina Fonseca.

Q: What is Carolina Ellinger Da Fonseca's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 07, 2021PECOS Enrolled

1975 4TH ST, SAN FRANCISCO, CA 94143(415) 514-4079 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jun 18, 2021, Apr 7, 2021 (3 updates tracked since 2021).

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About Carolina Ellinger Da Fonseca Md NPPES

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

CAROLINA ELLINGER DA FONSECA MD (NPI 1689253403) is an individual pediatrics provider in San Francisco, California, licensed in California (A196003) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689253403

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCAROLINA ELLINGER DA FONSECACredential: MD

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address22201 Moross Rd Ste 80Detroit, MI 48236-2169 · (313) 343-3800 · Fax (313) 343-4756

Phone(415) 514-4079

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 7, 2021

Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1689253403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · A196003✔ Licensed in MI · 4351047788

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1975 4TH ST, San Francisco, CA 94143

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Other Names 1

Other Name (5)Carolina Fonseca

Secondary Practice Location 1

Location 122201 Moross Rd Ste 80Detroit, MI 48236-2169 · Phone (313) 343-3800 · Fax (313) 343-4756

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Ellinger Da Fonseca Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961932025

PECOS Enrollment IDI20250730001873

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 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

DR. ABBEY CORIN LEA DPT

Physical Therapist