Carolyn S Repke, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD051481L Issued in PA

Practice address

1930 S Broad St Unit 9
Philadelphia, PA 19145-2328

Phone

(215) 339-8100

Fax

(215) 339-8103

NPI assigned

Aug 9, 2005

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Philadelphia Eye AssociatesGroup PAC ID 0749264083, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crepke@philadelphiaeyeassociates.emadirect.md

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

• Philadelphia Eye Associates

  dba Philadelphia Eye Associates of South Jersey

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1922009596
  Medicare reassignment Care Compare group NPD
• Philadelphia Eye Associates

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1982294013
  NPD
• Stadium Campus Ambulatory Surgical Center, LLC

  dba Wills Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1679658710
  NPD (past)
• Philadelphia Eye Associates of South Jersey

  • Ophthalmology Physician
  • Willingboro, NJ
  • NPI 1982690020
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1093716532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST UNIT 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-339-8100",
            "fax_number": "215-339-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST UNIT 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-339-8100",
            "fax_number": "215-339-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKE",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD051481L",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06190700",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD051481L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161265",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph J Renzi, D.O.
• Rishi Repaka
• Jennifer Repanshek, M.D.
• Zachary David Repanshek, M.D.
• Suzanne Be Repasky, DO
• Kristen Reppert
• Reputable Solutions Homecare LLC
• Res Ventures, LLC (Rittenhouse Nutrition)
• Rescue Pro,Inc (Rescue Pro)
• Reses Pharmacy Inc

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.
• 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.

Verify at the official NPI Registry.