Carl Raphael St. Remy, M.D.

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

0101235869 Issued in VA

Practice address

171 Kempsville Rd
Building a
Norfolk, VA 23502-4700

Phone

(757) 668-6550

Fax

(757) 668-6544

NPI assigned

Jul 30, 2006

Last updated

Jul 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 12

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Columbia University College of Physicians and Surgeons, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Children's Surgical Specialty Group, IncGroup PAC ID 0244288470, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Childrens Hospital of the Kings Daughters Inc

  • Psychiatric Hospital Unit
  • Norfolk, VA
  • NPI 1669137121

  Corporate Director

  CMS ownership
• Childrens Hospital of the Kings Daughters Inc

  • Children's Hospital
  • Norfolk, VA
  • NPI 1912919481

  Corporate Director

  CMS ownership

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.

• Children's Surgical Specialty Group, Inc

  • Pediatric Surgery Physician
  • Norfolk, VA
  • NPI 1245248947
  Medicare reassignment Care Compare group NPD
• Northstar Medical PLLC

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1518910207

  Pediatric Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1598770372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741593",
            "address_2": "CHILDRENS SURGICAL SPECIALTY GROUP INC",
            "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": "ST. REMY",
        "first_name": "CARL",
        "middle_name": "RAPHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101235869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "010060842",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7338381",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "007573642",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAID",
            "identifier": "790661P",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "104676",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1598770372",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PPO",
            "identifier": "669649",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "790661P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA HEALTH",
            "identifier": "65775",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4122371004",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060842",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "09-01530",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohith Srirama, MD
• Natasha Kapoor Sriraman, M.D.
• Judith B St George, NP
• St Marys Home for Disabled Children
• Harvey Sheldon St. Clair, M.D.
• Laura M Stacey, M.ED., BCBA, LBA
• Savannah B Stacey
• John Leroy Stacy Jr., CSAC, LPC
• Anthony Todd Stainback, RPH
• Eric William Staley, NAVY IDC

• Pediatric Orthopaedic Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Pediatric Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.