KIM CARNAZZOLA (M.D.) – Family Medicine Physician, NPI 1629093083

KIM CARNAZZOLA (M.D.) is a healthcare provider. based in Calabasas, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036-085955 (IL). The NPI Number for KIM CARNAZZOLA (M.D.) is 1629093083

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KIM CARNAZZOLA (M.D.)
NPI
1629093083
Phone
(847) 337-1492
Address
3958 OLEANDER CT APT B
Enumeration Date
13 July 2006
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
8426152638
Group Practice PAC ID
1355248584
Professional Enrollment ID
I20200603001052
Address ID
CA902654861MA23815RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for KIM CARNAZZOLA (M.D.)

  • 3958 OLEANDER CT APT B

    CALABASAS, CA 913022928

    Phone: (847) 337-1492

    Type: Mailing

  • 26585 Agoura Rd Ste 330

    Calabasas, CA 913021958

    Phone: (818) 876-1050

    Fax: (818) 592-2320

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • Wingstop, 22950, Vanowen Street, West Hills, Los Angeles, Los Angeles County, California, 91307, United States

    WEST HILLS, CA 913072500

    Phone: (818) 887-2782

    Type: Location

  • 23815 STUART RANCH RD STE 301

    MALIBU, CA 902654861

    Phone: (310) 317-0034

    Fax: (310) 317-0035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-10-20 • Largest payer in this snapshot: Cranial Technologies, Inc ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200603001052IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes180154$0
99214Established patient office or other outpatient visit, 30-39 minutes153131$0
81002Urinalysis, manual test5443$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2927$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional2020$0
View full utilization report →

Insurance plans in this area (ZIP 91302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355248584View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Family PracticeCA
-CA
-CA
-CA
Emergency Medicine, Family PracticeCA
Medical Oncology, Hematology/OncologyCA
Hospitalist, Internal MedicineMA
A L L E R G Y/ I M M U N O L O G YCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check KIM CARNAZZOLA (M.D.) using NPI 1629093083?
NPI 1629093083 belongs to KIM CARNAZZOLA (M.D.); compare other details if you need extra assurance.
Is there an active status for KIM CARNAZZOLA (M.D.)?
For scheduling context, KIM CARNAZZOLA (M.D.) is shown as active in the registry.
What area of care is associated with KIM CARNAZZOLA (M.D.)?
KIM CARNAZZOLA (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIM CARNAZZOLA (M.D.)?
Travel planning: use Calabasas, California as the reference point for KIM CARNAZZOLA (M.D.), then confirm.
Can I trust this NPI listing for KIM CARNAZZOLA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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