CAROLINA FONSECA VALENCIA M.D.
NPI 1821309972
Internal Medicine - Geriatric Medicine in Providence, RI

Q: What is Carolina Fonseca Valencia's NPI number?

The NPI number for Carolina Fonseca Valencia is 1821309972. It was assigned to this individual provider in the NPPES registry on June 23, 2010. The provider is also known as Carolina Fonseca Scullion M.D..

Q: What is Carolina Fonseca Valencia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment

94 ANGELL ST, PROVIDENCE, RI 02906(919) 274-5052(919) 371-5462 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolina Fonseca Valencia M.d. NPPES

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

CAROLINA FONSECA VALENCIA M.D. (NPI 1821309972) is an individual geriatric medicine provider in Providence, Rhode Island, licensed in Massachusetts (283408) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1821309972

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameCAROLINA FONSECA VALENCIACredential: M.D.

Location Address94 ANGELL STProvidence, RI 02906-1211

Mailing Address94 Angell StProvidence, RI 02906-1211 · (919) 274-5052 · Fax (919) 371-5462

Phone(919) 274-5052

Fax(919) 371-5462

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 23, 2010

Last NPPES UpdateJuly 7, 2020

NPPES CertifiedJuly 7, 2020

✔ NPI 1821309972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in MA · 283408

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD14725 (RI)

94 ANGELL ST, Providence, RI 02906

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Other Names 1

Other Name (5)Carolina Fonseca Scullion M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Carolina Fonseca Valencia 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 ID244469054

PECOS Enrollment IDI20220628002849

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 10

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.

139 services75 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.

124 services55 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

69 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

57 services45 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.

41 services41 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220083

Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County

Emergency services

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220100

Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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 Carolina Fonseca Valencia's NPI number?

The NPI number for Carolina Fonseca Valencia is 1821309972. It was assigned to this individual provider in the NPPES registry on June 23, 2010. The provider is also known as Carolina Fonseca Scullion M.D..

Where is Carolina Fonseca Valencia located?

Carolina Fonseca Valencia practices at 94 Angell St, Providence, RI 02906. The listed phone number is (919) 274-5052.

What is Carolina Fonseca Valencia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Carolina Fonseca Valencia enrolled in Medicare?

Yes. Carolina Fonseca Valencia 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 Carolina Fonseca Valencia accept?

Health plans from Anthem Blue Cross and Blue Shield list Carolina Fonseca Valencia 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 Carolina Fonseca Valencia affiliated with any hospitals?

According to CMS data, Carolina Fonseca Valencia is affiliated with Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Carolina Fonseca Valencia was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.