Active NPI
James Marc Cardelia, M.D.
- Pediatric Orthopaedic Surgery Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 0101229130
- Practice address
- 171 Kempsville Rd
Building a
Norfolk, VA 23502-4700 - Phone
- (757) 668-6550
- Fax
- (757) 668-6544
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 0101229130 | VA | Primary |
Addresses
Primary practice location
171 Kempsville Rd
Building a
Norfolk, VA 23502-4700
Mailing address
PO Box 741593
Atlanta, GA 30374-1593
Phone (757) 668-8544
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006712991 | Other | VA | VA PREMIER |
| 283177 | Other | VA | ALLIANCE/MDIPA |
| 4397279 | Other | VA | AETNA |
| G47212 | Other | VA | BEECH STREET |
| 006712991 | Medicaid | VA | |
| 89063PG | Other | VA | NORTH CAROLINA MEDICAID |
| 29771 | Other | VA | OPTIMA/SENTARA HEALTH |
| 311610834 | Other | VA | NC HEALTH CHOICE |
| 283177 | Other | VA | MAMSI/OPTIMUM CHOICE |
| 3116108340005E | Other | VA | CIGNA |
| 452226 | Other | VA | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101229130 | VA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Surgical Specialty Group, Inc | Current | Accepting new patients | |
| Childrens Specialty Group PLLC | Past | Accepting new patients |
Locations
500 Discovery Dr
Ste 102
Chesapeake, VA 23320
500 Discovery Dr
Chesapeake, VA 23320
Phone (757) 668-2311
11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550
171 Kempsville Rd
Bldg A
Norfolk, VA 23502
Phone (757) 668-6550
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
171 Kempsville Rd
Ste 201
Norfolk, VA 23502
Phone (757) 668-6550
2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550
1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673
Organizations & group practices 2
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.
-
- Pediatric Surgery Physician
- Norfolk, VA
- NPI 1245248947
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1366458283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741593",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741593",
"telephone_number": "757-668-8544",
"fax_number": "757-668-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 KEMPSVILLE RD",
"address_2": "BUILDING A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024700",
"telephone_number": "757-668-6550",
"fax_number": "757-668-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDELIA",
"first_name": "JAMES",
"middle_name": "MARC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "VA",
"license": "0101229130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "006712991",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE/MDIPA",
"identifier": "283177",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4397279",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "G47212",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006712991",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAID",
"identifier": "89063PG",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA HEALTH",
"identifier": "29771",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC HEALTH CHOICE",
"identifier": "311610834",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/OPTIMUM CHOICE",
"identifier": "283177",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3116108340005E",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "452226",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.