CHILDREN'S SURGICAL SPECIALTY GROUP, INC – Pediatric Surgery Physician, NPI 1245248947
Pediatric Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHILDREN'S SURGICAL SPECIALTY GROUP, INC
171, Kempsville Road, Glen Rock, Easton Place, Norfolk, Virginia, 23502, United States
SUITE 201
NORFOLK, VA 235024700
Phone: (757) 668-6550
Fax: (757) 893-6024
Type: Location
825 Fairfax Ave
Norfolk, VA 235071914
Phone: (757) 668-6550
Type: Location
1924 Landstown Centre Way
Virginia Beach, VA 234561624
Phone: (757) 668-4900
Type: Location
301 Riverview Ave Ste 300
Norfolk, VA 235101066
Phone: (757) 668-4578
Type: Location
500 Discovery Dr
Chesapeake, VA 233203871
Phone: (757) 668-2311
Type: Location
2021 Concert Dr
Virginia Beach, VA 234568082
Phone: (757) 668-2711
Type: Location
6425 Richmond Rd
Williamsburg, VA 231887202
Phone: (757) 668-2711
Type: Location
171 Kempsville Rd
Suite 201
Norfolk, VA 235024700
Phone: (757) 668-6550
Fax: (757) 893-6024
Type: Location
11783 Rock Landing Dr
Newport News, VA 236064431
Phone: (757) 668-6260
Type: Location
601 CHILDRENS LN
NORFOLK, VA 235071910
Phone: (757) 668-8850
Type: Location
601, Childrens Lane, Norfolk, Virginia, 23507, United States
NORFOLK, VA 235071910
Phone: (757) 668-7017
Fax: (757) 668-8929
Type: Mailing
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: 2005-03-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050315000329 | O | Clinic/Group Practice | VA | TBD |
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.
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 23502)
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