Active NPI
Carl B Rountree Jr., MD
- Pediatric Gastroenterology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 0101251638
- Practice address
- 5875 Bremo Rd
Suite 303
Richmond, VA 23226-1934 - Phone
- (804) 893-8610
- Fax
- (804) 287-7285
- NPI assigned
- Jun 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | MD431447 | PA | |
| Pediatric Gastroenterology Physician | 2080P0206X | 0101251638 | VA | Primary |
Addresses
Primary practice location
5875 Bremo Rd
Suite 303
Richmond, VA 23226-1934
Mailing address
5875 Bremo Rd
Suite 303
Richmond, VA 23226-1934
Phone (804) 893-8610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
| MD431447 | Other | PA | MEDICAL LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Texas Medical School at San Antonio, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9100 Arboretum Pkwy
Suite 350
North Chesterfield, VA 23236-3471
Phone (214) 883-5472
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Mary'S Hospital of Richmond LLC | Current | Accepting new patients | |
| Wound Health of Virginia LLC | Current | Accepting new patients | |
| Bon Secours St Marys Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Past | Accepting new patients | |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Pediatric Gastroenterology | Past | Accepting new patients |
Locations
611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470
9100 Arboretum Pkwy
Ste 350
North Chesterfield, VA 23236
Phone (214) 883-5472
5875 Bremo Rd
Ste 303
Richmond, VA 23226
Phone (804) 281-8303
7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275
5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644
5855 Bremo Rd
Ste 605
Richmond, VA 23226
Phone (804) 281-8303
Interoperability endpoints
- crountree1155223@direct.bsmhealth.org
Organizations & group practices 8
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.
-
- Nurse Practitioner
- North Chesterfield, VA
- NPI 1306662440
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- Clinical Social Worker
- Richmond, VA
- NPI 1780084921
-
- Land Ambulance
- Richmond, VA
- NPI 1124772470
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
-
- Pediatric Pulmonology Physician
- Richmond, VA
- NPI 1699906875
-
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
-
- Pediatric Gastroenterology Physician
- Richmond, VA
- NPI 1548529126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1821291303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 303",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-893-8610",
"fax_number": "804-287-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 303",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-893-8610",
"fax_number": "804-287-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNTREE",
"first_name": "CARL",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "PA",
"license": "MD431447",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "VA",
"license": "0101251638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD431447",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.