NPIMap

Individual provider Active NPI

Umadevi Muthyala, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Colonial Heights, VA
National Provider Identifier
1023044765
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101251547 Issued in VA
Practice address
3660 Boulevard
Suite G
Colonial Heights, VA 23834-1345
Phone
(804) 526-5566
Fax
(804) 526-5568
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2006024366 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101251547 VA Primary

Addresses

Primary practice location

3660 Boulevard
Suite G
Colonial Heights, VA 23834-1345

Mailing address

3660 Boulevard
Suite G
Colonial Heights, VA 23834-1345
Phone (804) 526-5566

Other identifiers 1

IdentifierTypeStateIssuer
C09633OtherVAGROUP PTAN

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
I20120911000839 VA Practitioner - EndocrinologyPractitioner - Internal Medicine 7911062708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

12340 Bermuda Crossroad LN
Chester, VA 23831-2352
Phone (804) 526-5566

1510 N 28TH St
Richmond, VA 23223-5311

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as individual
Quality
82.23
Promoting interoperability
100
Improvement activities
40
Cost
74.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince May 1, 2020 Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients

Locations

12340 Bermuda Crossroad Ln
Chester, VA 23831
Phone (804) 281-0275

3660 Boulevard
Ste G
Colonial Hgts, VA 23834
Phone (804) 526-5566

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: umuthyala1154080@direct.bsmhealth.org

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1023044765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BOULEVARD",
            "address_2": "SUITE G",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341345",
            "telephone_number": "804-526-5566",
            "fax_number": "804-526-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 BOULEVARD",
            "address_2": "SUITE G",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341345",
            "telephone_number": "804-526-5566",
            "fax_number": "804-526-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHYALA",
        "first_name": "UMADEVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2006024366",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101251547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.