Individual provider Active NPI

Lori V Smithson, MD

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1043284672
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101033670 Issued in VA
Practice address
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone
(804) 288-8102
Fax
(804) 282-3744
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 0101033670 VA
Neuroradiology Physician 2085N0700X 0101033670 VA
Nuclear Radiology Physician 2085N0904X 0101033670 VA
Pediatric Radiology Physician 2085P0229X 0101033670 VA
Diagnostic Radiology Physician 2085R0202X 0101033670 VA Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101033670 VA
Diagnostic Ultrasound Physician 2085U0001X 0101033670 VA

Addresses

Primary practice location

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421

Mailing address

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone (804) 288-8102

Other identifiers 2

IdentifierTypeStateIssuer
1043284672MedicaidVA
224564OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033670VAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Radiology P C Body Imaging CurrentSince Dec 28, 1998 Accepting new patients
MCV Associated Physicians Pediatric Radiology PastSince Sep 28, 2021 Accepting new patients

Locations

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

8013 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 330-4600

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

2810 N Parham Rd
Ste 315
Richmond, VA 23294

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230
Phone (804) 288-8102

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1043284672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WILLOW LAWN DR",
            "address_2": "STE 117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303421",
            "telephone_number": "804-288-8102",
            "fax_number": "804-282-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WILLOW LAWN DR",
            "address_2": "STE 117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303421",
            "telephone_number": "804-288-8102",
            "fax_number": "804-282-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "LORI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101033670",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101033670",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101033670",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101033670",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101033670",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101033670",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101033670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043284672",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224564",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.