Kristina Depaolo Carlin, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34.010846 Issued in OH

Practice address

6707 Powers Blvd
Suite 203
Parma, OH 44129-5455

Phone

(440) 845-1500

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kdepaolocarlin37678@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1114149275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD",
            "address_2": "SUITE 203",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD",
            "address_2": "SUITE 203",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295455",
            "telephone_number": "440-845-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLO CARLIN",
        "first_name": "KRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.010846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114149275",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristinadepaolocarlin@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "6707 Powers Blvd",
            "address_2": "Suite 203",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tony L Denicola, CRNP
• Brian Dennison, REGISTERED NURSE
• Dental Health Center, Inc.
• Taylor Dentzer
• Denver Home Health Care LLC
• Thomas J Depolo, D.P.M.
• Paul Anthony Der, PHARM.D.
• Deasia Deramus
• Pintoo Desai
• Hannah Detec, APRN, FNP-BC

• Pediatrics Physician in Parma, OH
• Providers in Parma, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.