NPIMap

Individual provider Active NPI

Walid G. Abou Assi, M.D.

  • Nephrology Physician
  • Richmond, VA
National Provider Identifier
1003867433
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101245252 Issued in VA
Practice address
7605 Forest Ave
Suite 109
Richmond, VA 23229-4938
Phone
(804) 285-6390
Fax
(804) 285-6393
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101245252 VA Primary

Addresses

Primary practice location

7605 Forest Ave
Suite 109
Richmond, VA 23229-4938

Mailing address

1603 Santa Rosa Rd
RM 102
Richmond, VA 23229-5010
Phone (804) 288-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090713000450 VA Practitioner - NephrologyPractitioner - Internal Medicine 2365454295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Specialists PCGroup PAC ID 4880676113, 12 clinicians

Practice addresses (Care Compare)

7501 Right Flank Rd
Suite 600
Mechanicsville, VA 23116-3863
Phone (804) 559-6980

Hospital & facility affiliations

  • Raceway Dialysis Center Dialysis facility, Richmond, VA, CCN 492664
  • Ara - Mechanicsville Dialysis Dialysis facility, Mechanicsville, VA, CCN 492603
  • Forest Park Dialysis Center Dialysis facility, Richmond, VA, CCN 492628
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as individual
Quality
91.18
Promoting interoperability
100
Improvement activities
40
Cost
66.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Specialists PC Nephrology CurrentSince Jul 15, 2009 Accepting new patients
Milan P. Krickovic, M.D., LTD. PastSince Jul 15, 2009 Accepting new patients

Locations

8400 N Run Medical Dr
Ste 200
Mechanicsville, VA 23116
Phone (804) 559-6980

7501 Right Flank Rd
Ste 600
Mechanicsvlle, VA 23116
Phone (804) 559-2489

5320 Patterson Ave
Ste 200
Richmond, VA 23226
Phone (804) 285-3384

7605 Forest Ave
Ste 109
Richmond, VA 23229
Phone (804) 285-6390

Interoperability endpoints

  • Direct secure messaging: walid.abou.assi.1@20471.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20471/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1003867433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 SANTA ROSA RD",
            "address_2": "RM 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295010",
            "telephone_number": "804-288-6750",
            "fax_number": "804-288-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 109",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-285-6390",
            "fax_number": "804-285-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU ASSI",
        "first_name": "WALID",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101245252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.