CAROLINA ELLINGER DA FONSECA MD
NPI 1689253403
Pediatrics in San Francisco, CA
NPI Status: Active since April 07, 2021
Contact Information
1975 4TH ST
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 514-4079
- Individual
- Female
- Pediatrics
- PECOS Enrolled
About CAROLINA ELLINGER DA FONSECA
This page provides the complete NPI Profile along with additional information for Carolina Ellinger Da Fonseca, a pediatrician established in San Francisco, California with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1689253403 assigned on April 2021. The practitioner's primary taxonomy code is 208000000X with license number A196003 (CA). The provider is registered as an individual and her NPI record was last updated August 2025.
- NPI
- 1689253403
- Provider Name
- CAROLINA ELLINGER DA FONSECA MD
- Other Name
- CAROLINA FONSECA
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1975 4TH ST SAN FRANCISCO, CA 94143
- Location Phone
- (415) 514-4079
- Mailing Address
- 22201 MOROSS RD STE 80 DETROIT, MI 48236
- Mailing Phone
- (313) 343-3800
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-07-2021
- Last Update Date
- 08-05-2025
- Code Navigator
A pediatrician like Carolina Ellinger Da Fonseca 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
- 22201 Moross Rd Ste 80
Detroit, MI 48236
(313) 343-3800
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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A196003
- License State
- CA
- Taxonomy Description
- 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.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 4351047788 (MI) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Carolina Ellinger Da Fonseca 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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 94143 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $104.51
- Minimum New Patient Price $69
- Maximum New Patient Price $202.35
- Average New Patient Copayment $26.12
- Minimum New Patient Copayment $17.25
- Maximum New Patient Copayment $50.58
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $119.48
- Minimum Established Patient Price $23.44
- Maximum Established Patient Price $166.46
- Average Established Patient Copayment $29.87
- Minimum Established Patient Copayment $5.86
- Maximum Established Patient Copayment $41.61
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 6 | 8 | 9 | 2 | 5 | 3 | 4 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 4 | 5 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 4 + 5 + 6 + 4 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1689253403 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 |
|---|---|---|---|
| 1326406547 | MS. JENNIFER STOTT MS, CCC-SLP Individual | Speech-Language Pathologist | 1975 4TH ST REHABILITATIVE SERVICES, BOX 4050 SAN FRANCISCO, CA 94143 (415) 514-4029 |
| 1649630351 | SARA OKANE NP Individual | Nurse Practitioner (Pediatrics) | 1975 4TH ST 6C PEDIATRIC BMT SAN FRANCISCO, CA 94143 (415) 476-2188 |
| 1649630898 | SARAH KWAN DPT Individual | Physical Therapist | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 514-4028 |
| 1669823514 | MR. ALBERTO FERIA ENGUERRA JR. PT Individual | Physical Therapist | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 476-9000 |
| 1164977237 | UCSF BENIOFF CHILDREN'S HOSPITAL Organization | General Acute Care Hospital (Children) | 1975 4TH ST BOX 550 SAN FRANCISCO, CA 94143 (415) 476-9000 |
| 1841742400 | MRS. CALLIE MAGUIRE LOPRESTI NP Individual | Nurse Practitioner (Pediatrics) | 1975 4TH ST UCSF, PEDIATRIC BONE MARROW TRANSPLANT SAN FRANCISCO, CA 94143 (415) 476-2188 |
| 1396286316 | NIRALI THAKKER NP Individual | Nurse Practitioner | 1975 4TH ST 4TH FLOOR SAN FRANCISCO, CA 94143 (415) 476-9000 |
| 1639601446 | JENNIFER SHIELDS MURPHY NP Individual | Nurse Practitioner (Pediatrics, Critical Care) | 1975 4TH ST UCSF BOX 0117 SAN FRANCISCO, CA 94143 (415) 514-3261 |
| 1922537331 | MRS. JENNIFER HARTMAN Individual | Nurse Practitioner (Pediatrics, Critical Care) | 1975 4TH ST BOX 4012 SAN FRANCISCO, CA 94143 (415) 035-3135 |
| 1750805859 | MRS. MELISSA DIANE LINCKS Individual | Nurse Practitioner (Pediatrics, Critical Care) | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 353-1247 |
| 1407366503 | MISS NATALIE LYNN DENNING NURSE PRACTITIONER Individual | Nurse Practitioner (Neonatal, Critical Care) | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 476-9000 |
| 1255842951 | CLINTON JONES CCP Individual | Perfusionist | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 476-9000 |
| 1316458045 | MRS. CHELSEA CAROLINE CAPONE CCP Individual | Perfusionist | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 216-0567 |
| 1821509480 | JACOB PLAFKER CCP Individual | Perfusionist | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 476-0567 |
| 1104338540 | JEFF EDWARD STANTON CCP Individual | Perfusionist | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 476-0567 |
| 1467968404 | CHING CHING YANG CPNP-AC Individual | Nurse Practitioner (Pediatrics, Critical Care) | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 353-1247 |
| 1558845487 | KELLY ANNE KIM PNP-AC Individual | Nurse Practitioner (Pediatrics, Critical Care) | 1975 4TH ST SAN FRANCISCO, CA 94143 (925) 324-5137 |
| 1811472475 | ZOE WALLACE MAGENNIS-MOLKE RN, NP Individual | Nurse Practitioner (Pediatrics, Critical Care) | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 353-1352 |
| 1679049142 | NICOLE HAUPERT NP Individual | Nurse Practitioner (Pediatrics) | 1975 4TH ST SAN FRANCISCO, CA 94143 (415) 353-1022 |
| 1578039129 | ROBYN ELIZABETH ADCOCK LAC Individual | Acupuncturist | 1975 4TH ST SAN FRANCISCO, CA 94143 (510) 501-2465 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689253403, enumerated in the NPI registry as an "individual" on April 07, 2021
The provider is located at 1975 4th St San Francisco, Ca 94143 and the phone number is (415) 514-4079
The provider's speciality is Pediatrics with taxonomy code 208000000X
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.
Medicare beneficiaries should expect a typical cost of $104.51 with an average copayment of $26.12 for new patient appointments. Established patients should expect a typical charge of $119.48 and an average copayment of 29.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 07, 2021. 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].
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