Active NPI
Carissa Marrie Baker-Smith, M.D.
- Pediatric Cardiology Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- C1-0013525
- Practice address
- 1600 Rockland Rd
Wilmington, DE 19803-3607 - Phone
- (302) 651-4200
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D70988 | MD | |
| Pediatric Cardiology Physician | 2080P0202X | D70988 | MD | |
| Pediatric Cardiology Physician | 2080P0202X | C1-0013525 | DE | Primary |
Addresses
Primary practice location
1600 Rockland Rd
Wilmington, DE 19803-3607
Mailing address
PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200
Other practice location 1
201 Towne Centre Dr Ste 500
Dover, DE 19904-4062
Phone (302) 672-5650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419944800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200221002234 | DE | Practitioner - Cardiovascular Disease (Cardiology) | 1658566963 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Perelman School of Med at the University of Pennsylvania, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Nemours Foundation
Practice addresses (Care Compare)
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200
Hospital & facility affiliations
- Nemours Children'S Hospital, Delaware
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0013525 | DE | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Pediatrics | Current | Accepting new patients |
| University of Maryland Pediatric Associates, PA | Pediatrics | Current | Accepting new patients |
| University of Maryland Pediatric Assoc PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
201 Towne Centre Dr
Ste 500
Dover, DE 19904
Phone (302) 672-5650
1600 Rockland Rd
Wilmington, DE 19803
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
Interoperability endpoints
- cbakersmith80904@direct.nemours.org
Organizations & group practices 9
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.
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Pharmacy
- Wilmington, DE
- NPI 1386830859
-
- Children's Hospital
- Orlando, FL
- NPI 1245520386
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Pediatric Allergy/Immunology Physician
- Baltimore, MD
- NPI 1912002320
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1083933444
Pediatrics
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1528163912
Pediatrics
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1508031121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-4200",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 ROCKLAND RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033607",
"telephone_number": "302-651-4200"
}
],
"practiceLocations": [
{
"address_1": "201 Towne Centre Dr Ste 500",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199044062",
"country_code": "US",
"telephone_number": "302-672-5650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER-SMITH",
"first_name": "CARISSA",
"middle_name": "MARRIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D70988",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MD",
"license": "D70988",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "DE",
"license": "C1-0013525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419944800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.