ILENE E CARLSON MD NPI 1457395097

NPI Information

  • NPI: 1457395097
  • Provider Name: ILENE E CARLSON, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 680 CENTRE ST
    PATHOLOGY DEPARTMENT
    BROCKTON, MA
    ZIP 02302
  • Phone: (508) 941-7414

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NPI Details

Ilene E Carlson, MD is an anatomic pathology and clinical pathology pathology in Brockton, MA with 34 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Ilene E Carlson, MD NPI is 1457395097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

680 CENTRE ST
PATHOLOGY DEPARTMENT
BROCKTON, MA
ZIP 02302-308
Phone: (508) 941-7414
Fax: (508) 941-6295

The NPI 1457395097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, high complexity (HCPCS:88309)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology153189MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A22510MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
23167119MEDICAIDMASSACHUSETTS
3G46741MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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