Active NPI
Samuel Turner Carrell, MD/PHD
- Neurology Physician
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101281505
- Practice address
- 11958 W Broad St
Henrico, VA 23233-1007 - Phone
- (804) 360-4669
- NPI assigned
- Apr 19, 2018
- 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 |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 0101281505 | VA | |
| Neurology Physician | 2084N0400X | 0101281505 | VA | Primary |
Addresses
Primary practice location
11958 W Broad St
Henrico, VA 23233-1007
Mailing address
10816 Weather Vane Rd
Henrico, VA 23238-4161
Phone (319) 538-5636
Other practice location 1
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6641
Hospital & facility affiliations
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101281505 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Neurology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Neurology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
1000 E Broad St
Richmond, VA 23219
Organizations & group practices 4
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Neurology Physician
- Philadelphia, PA
- NPI 1164810271
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1922595545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 WEATHER VANE RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232384161",
"telephone_number": "319-538-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11958 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232331007",
"telephone_number": "804-360-4669"
}
],
"practiceLocations": [
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRELL",
"first_name": "SAMUEL",
"middle_name": "TURNER",
"credential": "MD/PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "VA",
"license": "0101281505",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101281505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.