DR. KATARI ANN CARELLO (MD) – Pediatric Anesthesiology Physician, NPI 1306992722

DR. KATARI ANN CARELLO (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 4301095973 (MI). The NPI Number for DR. KATARI ANN CARELLO (MD) is 1306992722

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATARI ANN CARELLO (MD)
NPI
1306992722
Phone
(904) 697-4127
Address
10140 CENTURION PKWY N
Enumeration Date
26 January 2007
Last Update Date
12 February 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9549395000
Graduation Year
2006 (20 years ago)
PAC ID
5496971087
Group Practice PAC ID
7416869565
Professional Enrollment ID
I20170525000861
Address ID
FL322566932JA7021XPKWY500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

3,343 ANESTHESIOLOGY in FL

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Provider Addresses for DR. KATARI ANN CARELLO (MD)

  • 10140, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322560532

    Phone: (904) 697-4127

    Fax: (904) 697-5102

    Type: Mailing

  • Nemours Children's Specialty Care, 807, Childrens Way, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078426

    Phone: (904) 697-3600

    Fax: (904) 697-3927

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-05-25

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
I20170525000861IAnesthesiologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32256)

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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: 7416869565View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
-WI
A N E S T H E S I O L O G YFL
-FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for DR. KATARI ANN CARELLO (MD)?
The registry entry for DR. KATARI ANN CARELLO (MD) shows NPI 1306992722.
Should I treat DR. KATARI ANN CARELLO (MD) as an active provider?
Patients and plans typically see DR. KATARI ANN CARELLO (MD) as active in the national extract.
What type of care does DR. KATARI ANN CARELLO (MD) provide?
DR. KATARI ANN CARELLO (MD)'s profile centers on Pediatric Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KATARI ANN CARELLO (MD) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, DR. KATARI ANN CARELLO (MD) may be relevant to your search.
Why is information missing for DR. KATARI ANN CARELLO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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