Individual provider Active NPI

Carl B Rountree Jr., MD

  • Pediatric Gastroenterology Physician
  • Richmond, VA
National Provider Identifier
1821291303
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
0101251638 Issued in VA
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

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN
MD431447OtherPAMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000453 VA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 1355438094 Reassigns benefits to 2 organizations

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
Wound Health of Virginia LLCGroup PAC ID 0446772669, 6 clinicians

Practice addresses (Care Compare)

9100 Arboretum Pkwy
Suite 350
North Chesterfield, VA 23236-3471
Phone (214) 883-5472

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Wound Health of Virginia LLC CurrentSince Jan 1, 2025 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jul 1, 2012 Accepting new patients
Bon Secours St Mary'S Hospital of Richmond LLC CurrentSince Jul 1, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.