MARIA TERESA PEREZ CARBALLO M.D.
NPI 1508277013
Pediatrics - Pediatric Cardiology in Providence, RI
NPI Status: Active since May 19, 2014
- Individual
- Female
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- PECOS Enrolled
About MARIA PEREZ CARBALLO
This page provides the complete NPI Profile along with additional information for Maria Perez Carballo, a pediatrician established in Providence, Rhode Island with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1508277013 assigned on May 2014. The practitioner's primary taxonomy code is 2080P0202X with license number MD17276 (RI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1508277013
- Provider Name
- MARIA TERESA PEREZ CARBALLO M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 HOPPIN ST PROVIDENCE, RI 02903
- Location Phone
- (401) 444-4612
- Mailing Address
- 300 LONGWOOD AVE BOSTON, MA 02115
- Mailing Phone
- (617) 355-6000
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-19-2014
- Last Update Date
- 11-11-2020
- Code Navigator
A pediatrician like Maria Perez Carballo is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 20 York St. Yale-New Haven Hospital
New Haven, CT 06510
(203) 688-4242 - 300 Longwood Ave
Boston, MA 02115
(617) 355-6000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD17276
- License State
- RI
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | 270063 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Maria Perez Carballo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MARIA TERESA PEREZ CARBALLO M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 2 | 7 | 7 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 4 | 7 | 14 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 4 + 7 + 1 + 4 + 0 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1508277013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679579338 | WILLIAM T MASON M.D. Individual | Internal Medicine | 1 HOPPIN ST 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8400 |
| 1730173139 | ELIZABETH D BUCKLEY PA Individual | Physician Assistant | 1 HOPPIN ST 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8400 |
| 1710961578 | JULIE BOERGERS PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1881670529 | ABBE MARRS GARCIA PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1821074576 | CHRISTOPHER DAVID HOUCK PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1114903820 | ELIZABETH LOUISE MCQUAID PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1427034123 | ELISSA JELALIAN PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1003892712 | DEBRA J LOBATO-BARRERA PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1578549960 | WENDY S HADLEY PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1407832769 | JENNIFER BETH FREEMAN PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1750367868 | JACK HOWARD NASSAU PHD Individual | Psychologist (Clinical Child & Adolescent) | 1 HOPPIN ST SUITE 204 PROVIDENCE, RI 02903 (401) 444-8945 |
| 1548248164 | DR. JOSE BERNARDO Q. QUINTOS M.D. Individual | Pediatrics (Pediatric Endocrinology) | 1 HOPPIN ST CORO WEST SUITE 200 PROVIDENCE, RI 02903 (401) 444-5504 |
| 1487632634 | MARIA L BUCKLEY PHD Individual | Psychologist (Clinical) | 1 HOPPIN ST CORO CENTER, 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8770 |
| 1871571927 | JUDITH D. DEPUE EDD Individual | Psychologist (Counseling) | 1 HOPPIN ST CORO CENTER, 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8770 |
| 1578541637 | KAREN OLIVER PHD Individual | Psychologist (Clinical) | 1 HOPPIN ST CORO CENTER, 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8770 |
| 1922086081 | RONALD W THEBARGE PHD Individual | Psychologist (Clinical) | 1 HOPPIN ST CORO CENTER, 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8770 |
| 1306824461 | JUSTIN NASH PHD Individual | Psychologist (Clinical) | 1 HOPPIN ST CORO CENTER, 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8770 |
| 1508844515 | MICHAEL G. GOLDSTEIN MD Individual | Psychiatry & Neurology (Psychiatry) | 1 HOPPIN ST CORO CENTER, 3RD FLOOR PROVIDENCE, RI 02903 (401) 793-8770 |
| 1013989425 | SARA REGAN FORD MD Individual | Pediatrics (Pediatric Cardiology) | 1 HOPPIN ST CORO CENTER SUITE 304 PROVIDENCE, RI 02903 (401) 444-4612 |
| 1972570422 | DR. KATHLEEN MARY ROTONDO M.D. Individual | Pediatrics (Pediatric Cardiology) | 1 HOPPIN ST PEDIATRIC HEART CENTER; SUITE 304 PROVIDENCE, RI 02903 (401) 444-4612 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508277013, enumerated in the NPI registry as an "individual" on May 19, 2014
The provider is located at 1 Hoppin St Providence, Ri 02903 and the phone number is (401) 444-4612
The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 19, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.