Active NPI
Stefany Carvalho, DPM
- Foot Surgery Podiatrist
- Brainerd, MN
National Provider Identifier
1245868447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PD1183
- Practice address
- 2024 S 6TH St
Brainerd, MN 56401-4529 - Phone
- (218) 828-2880
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Radiology Clinic/Center
- Brainerd, MN
- NPI 1639648348
-
- General Practice Physician
- Baxter, MN
- NPI 1174809792
-
- Multi-Specialty Clinic/Center
- Staples, MN
- NPI 1538916101
-
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Practice Physician
- Brainerd, MN
- NPI 1184866956
Care Compare affiliation Hospital -
- Anesthesiology Physician
- Brainerd, MN
- NPI 1336465038
Care Compare affiliation Hospital -
- Primary Care Clinic/Center
- Crosslake, MN
- NPI 1477509776
Care Compare affiliation Hospital -
- Multi-Specialty Clinic/Center
- Emily, MN
- NPI 1538571914
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
Care Compare affiliation Hospital -
- Primary Care Clinic/Center
- Pierz, MN
- NPI 1568418861
Care Compare affiliation Hospital -
- Primary Care Clinic/Center
- Pine River, MN
- NPI 1649223603
Care Compare affiliation Hospital -
- Primary Care Clinic/Center
- Pequot Lakes, MN
- NPI 1730134891
Care Compare affiliation Hospital -
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brainerd, MN
- NPI 1740393032
Care Compare affiliation Hospital -
- Primary Care Clinic/Center
- Pillager, MN
- NPI 1891740957
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Medical Center
Practice addresses (Care Compare)
2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100
Hospital & facility affiliations
- Essentia Health St Joseph'S Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 159 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 23 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911000067 | MN | Practitioner - Podiatry | 9931561198 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5943 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Medical Center | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| St Joseph'S Medical Center | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients |
Locations
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PD1183 | MN | Primary |
| Podiatrist | 213E00000X | E5943 | CA |
Addresses
NPPES NPI RegistryPrimary practice location
2024 S 6TH St
Brainerd, MN 56401-4529
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2024.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1245868447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581034940",
"telephone_number": "701-364-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 S 6TH ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564014529",
"telephone_number": "218-828-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVALHO",
"first_name": "STEFANY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MN",
"license": "PD1183",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5943",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.