JUAN E CARBALLO (M.D) – Pediatrics Physician, NPI 1497983134
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for JUAN E CARBALLO (M.D)
207 E. EVERGREEN ST.
SAN ANTONIO, TX 78218
Phone: (210) 223-3543
Fax: (210) 924-1374
Type: Location
315 N SAN SABA STE 1075
SAN ANTONIO, TX 782073155
Phone: (210) 922-7000
Fax: (210) 227-0282
Type: Location
The Avenue, 715, Pacific Avenue, Downtown District (Commercial), Downtown, Santa Cruz, Santa Cruz County, California, 1982, United States
SAN ANTONIO, TX 782213117
Phone: (210) 922-7000
Fax: (210) 227-0282
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($115).
Total Amount
$238
General + Research + Ownership
Payments
11
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $115 |
| Merck Sharp & Dohme LLC | $100 |
| PFIZER INC. | $22 |
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: 2019-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190911001719 | I | Pediatric Medicine | TX | TBD |
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.
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 78218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | TX | |
| P O D I A T R Y | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Internal Medicine | NM |
Reviews
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