Active NPI
Richard Vladimir Remigailo, M.D.
- Urology Physician
- Atlanta, GA
National Provider Identifier
1528097177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 17725
- Practice address
- 2631 Silver Lace CT NE
Atlanta, GA 30345-1344 - Phone
- (770) 491-7079
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 17725 | GA | Primary |
Addresses
Primary practice location
2631 Silver Lace CT NE
Atlanta, GA 30345-1344
Mailing address
2631 Silver Lace CT NE
Atlanta, GA 30345-1344
Phone (770) 491-7079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000085401E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17725 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Urology, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1528097177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 SILVER LACE CT NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303451344",
"telephone_number": "770-491-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 SILVER LACE CT NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303451344",
"telephone_number": "770-491-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMIGAILO",
"first_name": "RICHARD",
"middle_name": "VLADIMIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "17725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000085401E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.