DR. EMILY JINA THOMPSON CARRILLO (MD) – Obstetrics & Gynecology Physician, NPI 1639468275

DR. EMILY JINA THOMPSON CARRILLO (MD) is a healthcare provider. based in Abingdon, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 0101287100 (VA). The NPI Number for DR. EMILY JINA THOMPSON CARRILLO (MD) is 1639468275

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY JINA THOMPSON CARRILLO (MD)
NPI
1639468275
Phone
(276) 258-1000
Address
16000 Johnston Memorial Dr Ste 200
Enumeration Date
5 April 2011
Last Update Date
27 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5852757892
Graduation Year
2010 (16 years ago)
PAC ID
5193033173
Group Practice PAC ID
8426283623
Professional Enrollment ID
I20150925000445
Address ID
NY146097141RO909XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness85
Years active:15State licenses:3Digital endpointsOther names

1,165 OBSTETRICS/GYNECOLOGY in VA

Provider Addresses for DR. EMILY JINA THOMPSON CARRILLO (MD)

  • 16000 Johnston Memorial Dr Ste 200

    Abingdon, VA 242117664

    Phone: (276) 258-1000

    Type: Location

  • 77 Turnpike Ave

    Portsmouth, RI 028711419

    Phone: (401) 673-7070

    Fax: (401) 848-6084

    Type: Location

  • 990 SOUTH AVE

    #103

    ROCHESTER, NY 14620

    Phone: (585) 733-9784

    Type: Mailing

  • 601 ELMWOOD AVE

    DEPARTMENT OF OB/GYN

    ROCHESTER, NY 146420001

    Phone: (585) 275-3733

    Type: Location

  • 777 LOWNDES HILL RD BLDG 1

    GREENVILLE, SC 296072101

    Phone: (800) 967-2289

    Fax: (864) 516-7838

    Type: Mailing

  • 11 FRIENDSHIP ST

    NEWPORT, RI 028402209

    Phone: (401) 845-1652

    Fax: (401) 845-1198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150925000445IObstetrics/GynecologyNYTBD
I20260114001738IObstetrics/GynecologyRITBD
I20260226003976IObstetrics/GynecologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426283623View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNY
Certified Nurse Midwife (Cnm)NY
Certified Nurse Midwife (Cnm)NY
Nurse PractitionerNY
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YNY
-NY
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YNY
-NY

Reviews

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Frequently asked questions

How is DR. EMILY JINA THOMPSON CARRILLO (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. EMILY JINA THOMPSON CARRILLO (MD) with NPI 1639468275.
Does CMS list DR. EMILY JINA THOMPSON CARRILLO (MD) as active?
Yes — DR. EMILY JINA THOMPSON CARRILLO (MD) is active in the NPI listing used on this page.
What is DR. EMILY JINA THOMPSON CARRILLO (MD)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. EMILY JINA THOMPSON CARRILLO (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. EMILY JINA THOMPSON CARRILLO (MD) based?
DR. EMILY JINA THOMPSON CARRILLO (MD) is tied to Abingdon, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.