DR. CARL WOLNISTY (M.D.) – Internal Medicine Physician, NPI 1912906140

DR. CARL WOLNISTY (M.D.) is a healthcare provider. based in Riverside, California. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. G5804 (CA). The NPI Number for DR. CARL WOLNISTY (M.D.) is 1912906140

Main info

Male
68 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARL WOLNISTY (M.D.)
NPI
1912906140
Phone
(951) 688-5122
Address
3838 SHERMAN DR
Enumeration Date
19 July 2005
Deactivation Date
20 March 2006
Reactivation Date
24 March 2006
Last Update Date
3 August 2010

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1958 (68 years ago)
PAC ID
3779625090
Professional Enrollment ID
I20100126000161
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CARL WOLNISTY (M.D.)

  • 3838, Sherman Drive, Riverside, Riverside County, California, 92503, United States

    SUITE 7

    RIVERSIDE, CA 925034001

    Phone: (951) 688-5122

    Fax: (951) 688-8145

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $205.

Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Novo Nordisk Inc ($95).

Total Amount

$205

General + Research + Ownership

Payments

10

Total payment records

General Amount

$205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

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: 2010-01-26

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
I20100126000161IInternal MedicineCATBD

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 minutes9659$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 92503)

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Reviews

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Frequently asked questions

How is DR. CARL WOLNISTY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. CARL WOLNISTY (M.D.) with NPI 1912906140.
Does the file indicate DR. CARL WOLNISTY (M.D.) is practicing under active NPI?
Directory data currently reports DR. CARL WOLNISTY (M.D.) as active.
What is DR. CARL WOLNISTY (M.D.) best known for clinically?
Directory data describes DR. CARL WOLNISTY (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. CARL WOLNISTY (M.D.) list a practice location?
Patients near Riverside, California may find DR. CARL WOLNISTY (M.D.) in results; validate coverage separately.
Is the information about DR. CARL WOLNISTY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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