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DR. KAREN R MCALMON MD
NPI 1932118205
Pediatrics - Neonatal-Perinatal Medicine in Winchester, MA

Active since August 05, 2006PECOS Enrolled
41 HIGHLAND AVE, WINCHESTER, MA 01890(781) 756-2067(781) 756-2965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Karen R Mcalmon Md NPPES

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

DR. KAREN R MCALMON MD (NPI 1932118205) is an individual neonatal-perinatal medicine provider in Winchester, Massachusetts, licensed in Massachusetts (56007) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932118205
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KAREN R MCALMONCredential: MD
Location Address41 HIGHLAND AVEWinchester, MA 01890-1446
Mailing Address41 Highland AveWinchester, MA 01890-1446 · (781) 756-2067 · Fax (781) 756-2965
Phone(781) 756-2067
Fax(781) 756-2965
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932118205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MA · 56007
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
41 HIGHLAND AVE, Winchester, MA 01890
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Other Identifiers 2

Medicaid3066220MA
Medicare UPINE62266

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen R Mcalmon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Karen Mcalmon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cambridge Public Health Commission
6.4 mi
General Acute Care Hospital
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 clinicians in this Medicare group
NPI 1932313228 (617) 665-1000
Children's Hospital Pediatric Associates, Inc
8.9 mi
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. CHIRIN AL DALATI M.D.
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 729-9000
WINCHESTER PHYSICIAN ASSOCIATES
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-7273
WINCHESTER LABORATORY ASSOCIATES, INC.
Pathology (Anatomic Pathology & Clinical Pathology)
41 HIGHLAND AVE, WINCHESTER HOSPITAL
WINCHESTER, MA 01890
Middlesex County (781) 756-2319
AIMEE CALISTA KNORR MD
Pediatrics (Neonatal-Perinatal Medicine)
41 HIGHLAND AVE, WINCHESTER HOSPITAL
WINCHESTER, MA 01890
Middlesex County (781) 756-2240
DR. MOHAMED MAHMOUD MD
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-7095
JOHN E COPANOS M.D.
Internal Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-7095
DR. VIVIANA REYES PINZON MD
Internal Medicine (Pulmonary Disease)
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 756-2260
DR. ERIC EBERT MD
Emergency Medicine
41 HIGHLAND AVE
WINCHESTER, MA 01890
Middlesex County (781) 729-9000

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 Mcalmon's NPI number?

The NPI number for Karen Mcalmon is 1932118205. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Karen Mcalmon located?

Karen Mcalmon practices at 41 Highland Ave, Winchester, MA 01890. The listed phone number is (781) 756-2067.

What is Karen Mcalmon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Karen Mcalmon enrolled in Medicare?

Yes. Karen Mcalmon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Mcalmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mcalmon reassigns Medicare benefits to 2 organizations: Cambridge Public Health Commission (Cambridge, MA) and Children's Hospital Pediatric Associates, Inc (Boston, MA). Each 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 Mcalmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Mcalmon accept?

Health plans from Taro Health list Karen Mcalmon 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.

When was this NPI record last updated?

The NPPES record for Karen Mcalmon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.