NPIMap

Individual provider Active NPI

John Constantine Gretes, MD

  • Nephrology Physician
  • Gloucester, VA
National Provider Identifier
1043248453
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101025205 Issued in VA
Practice address
7552 Hospital Dr Ste 302
Gloucester, VA 23061-4178
Phone
(804) 693-9062
NPI assigned
Jun 28, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 0101025205 VA Primary

Addresses

Primary practice location

7552 Hospital Dr Ste 302
Gloucester, VA 23061-4178

Mailing address

856 J Clyde Morris Blvd
Ste a
Newport News, VA 23601-1318

Other practice location 1

739 Thimble Shoals Blvd
Ste 801
Newport News, VA 23606-3585
Phone (757) 873-1009

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
I20081003000045 VA Practitioner - Nephrology 5991722084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Duke University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

7552 Hospital Dr
Suite 302
Gloucester, VA 23061-4178
Phone (804) 693-9062

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101025205VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. CurrentSince Sep 1, 2008 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 1, 2008 Accepting new patients
The Center for Renal Medicine, Inc. Nephrology PastSince Sep 1, 2008 Accepting new patients

Locations

7552 Hospital Dr
#302
Gloucester, VA 23061
Phone (804) 693-6720

7544 Medical Dr
Ste 202
Gloucester, VA 23061
Phone (804) 694-5553

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

739 Thimble Shoals Blvd
Ste 801
Newport News, VA 23606
Phone (757) 873-1009

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

Interoperability endpoints

  • Direct secure messaging: jgretes12038@direct.rivhs.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1043248453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 HOSPITAL DR STE 302",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614178",
            "telephone_number": "804-693-9062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 Thimble Shoals Blvd",
            "address_2": "Ste 801",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236063585",
            "country_code": "US",
            "telephone_number": "757-873-1009",
            "fax_number": "757-873-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRETES",
        "first_name": "JOHN",
        "middle_name": "CONSTANTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101025205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

Verify at the official NPI Registry.