DR. CARISSA MARRIE BAKER-SMITH M.D.
NPI 1508031121
Pediatrics - Pediatric Cardiology in Wilmington, DE

NPI Status: Active since April 24, 2008

Contact Information

1600 ROCKLAND RD
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-4200

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  • Individual
  • Female
  • Years of Experience 23
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CARISSA BAKER-SMITH

This page provides the complete NPI Profile along with additional information for Carissa Baker-smith, a pediatrician established in Wilmington, Delaware with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 23 years of experience. She graduated from Perelman School Of Med At The University Of Pennsylvania in 2003. The healthcare provider is registered in the NPI registry with number 1508031121 assigned on April 2008. The practitioner's primary taxonomy code is 2080P0202X with license number C1-0013525 (DE). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1508031121
Provider Name
DR. CARISSA MARRIE BAKER-SMITH M.D.
Gender
Female
Entity Type
Individual
Location Address
1600 ROCKLAND RD WILMINGTON, DE 19803
Location Phone
(302) 651-4200
Mailing Address
PO BOX 191 ROCKLAND, DE 19732
Mailing Phone
(302) 651-4200
Mailing Fax
Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
04-24-2008
Last Update Date
02-06-2020
Code Navigator

A pediatrician like Carissa Baker-smith is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 201 Towne Centre Dr Ste 500
    Dover, DE 19904
    (302) 672-5650

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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
C1-0013525
License State
DE
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

D70988 (MD)
22080P0202XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Cardiology

D70988 (MD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access Select PPO Bronze 3800 - PPO
  • my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Bronze 9200 - PPO
  • my Blue Access Select PPO Gold 0 - PPO
  • my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Gold 1700 HSA - PPO
  • my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO

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
419944800MEDICAID (05)MD 

Medicare Participation & PECOS Enrollment Status

Carissa Baker-smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Carissa Baker-smith 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

  • PECOS PAC ID: 1658566963

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200221002234

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Reviews for DR. CARISSA MARRIE BAKER-SMITH M.D.

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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 1508031121, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 0 → 0 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 0 + 3 + 2 + 1 + 4 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1508031121.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
1600 ROCKLAND RD
WILMINGTON, DE 19803
Emergency Medicine (Pediatric Emergency Medicine)
1600 ROCKLAND RD, AI DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE 19803
Physician Assistant
1600 ROCKLAND RD, DEPARTMENT OF ORTHOPEDICS, DUPONT HOSPITAL
WILMINGTON, DE 19803
Pediatrics (Pediatric Emergency Medicine)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Audiologist
1600 ROCKLAND RD, AUDIOLOGY DEPARTMENT
WILMINGTON, DE 19803
Pharmacist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics (Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pharmacist
1600 ROCKLAND RD, DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE 19803
Pharmacist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Social Worker (Clinical)
1600 ROCKLAND RD, A.I. DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE 19803
Medical Genetics (Clinical Genetics (M.D.))
1600 ROCKLAND RD, MEDICAL GENETICS
WILMINGTON, DE 19803
Pediatrics
1600 ROCKLAND RD, A. I. DUPONT HOSPITAL FOR CHILDREN
WILMINGTON, DE 19803
Nurse Practitioner (Pediatrics)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Radiology (Pediatric Radiology)
1600 ROCKLAND RD, DEPARTMENT OF RADIOLOGY, A.I DUPONT CHILDREN'S HOSPITAL
WILMINGTON, DE 19803
Audiologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Audiologist
1600 ROCKLAND RD, AUDIOLOGY DEPARTMENT
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508031121, enumerated as an "individual" on April 24, 2008.

The provider is located at 1600 ROCKLAND RD WILMINGTON, DE 19803 and the phone number is (302) 651-4200.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.