JAMES MARC CARDELIA M.D.
NPI 1366458283
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Norfolk, VA
NPI Status: Active since July 31, 2006
Contact Information
171 KEMPSVILLE RD
BUILDING A
NORFOLK, VA
ZIP 23502
Phone: (757) 668-6550
Fax: (757) 668-6544
- Individual
- Male
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- PECOS Enrolled
About JAMES CARDELIA
This page provides the complete NPI Profile along with additional information for James Cardelia, a provider established in Norfolk, Virginia with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1366458283 assigned on July 2006. The practitioner's primary taxonomy code is 207XP3100X with license number 0101229130 (VA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1366458283
- Provider Name
- JAMES MARC CARDELIA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 171 KEMPSVILLE RD BUILDING A NORFOLK, VA 23502
- Location Phone
- (757) 668-6550
- Location Fax
- (757) 668-6544
- Mailing Address
- PO BOX 741593 ATLANTA, GA 30374
- Mailing Phone
- (757) 668-8544
- Mailing Fax
- (757) 668-6544
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 01-11-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101229130
- License State
- VA
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4397279 | OTHER (01) | VA | AETNA |
| 200001149 | MEDICARE ID-TYPE UNSPECIFIED (04) | VA | |
| 283177 | OTHER (01) | VA | MAMSI/OPTIMUM CHOICE |
| 29771 | OTHER (01) | VA | OPTIMA/SENTARA HEALTH |
| 89063PG | OTHER (01) | VA | NORTH CAROLINA MEDICAID |
| 452226 | OTHER (01) | VA | ANTHEM BCBS |
| 006712991 | OTHER (01) | VA | VA PREMIER |
| 283177 | OTHER (01) | VA | ALLIANCE/MDIPA |
| 3116108340005E | OTHER (01) | VA | CIGNA |
| G47212 | MEDICARE UPIN (02) | VA | |
| 311610834 | OTHER (01) | VA | NC HEALTH CHOICE |
| G47212 | OTHER (01) | VA | BEECH STREET |
| 006712991 | MEDICAID (05) | VA |
Medicare Participation & PECOS Enrollment Status
James Cardelia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366458283, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NORFOLK, VA 23502
NORFOLK, VA 23502
NORFOLK, VA 23502
NORFOLK, VA 23502
NORFOLK, VA 23502
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366458283, enumerated as an "individual" on July 31, 2006.
The provider is located at 171 KEMPSVILLE RD BUILDING A NORFOLK, VA 23502 and the phone number is (757) 668-6550.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
