Individual provider Active NPI

Laura Elizabeth Regan, M.D.

  • Dermatology Physician
  • Midlothian, VA
National Provider Identifier
1053474759
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101238821 Issued in MA
Practice address
1316 Alverser PLZ
Midlothian, VA 23113
Phone
(804) 379-0116
Fax
(804) 379-1088
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 0101238821 MA
Dermatology Physician 207N00000X 0101238821 MA Primary

Addresses

Primary practice location

1316 Alverser PLZ
Midlothian, VA 23113

Mailing address

PO Box 72605
Richmond, VA 23235-8017
Phone (804) 379-0116

Other practice location 1

6372 Mechanicsville Tpke Ste 103
Mechanicsville, VA 23111-4710
Phone (804) 379-0116

Other identifiers 3

IdentifierTypeStateIssuer
7682749OtherVAAETNA NON-HMO
1178927OtherVAAETNA HMO
192334OtherVAANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000283 VA Practitioner - DermatologyPractitioner - Pathology 9436137775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Dermatology PLLCGroup PAC ID 1759430457, 9 clinicians

Practice addresses (Care Compare)

1316 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 379-0116

Merit-based Incentive Payment System (MIPS)

Final score
91.81 of 100Reported as group
Quality
94.68
Improvement activities
40
Cost
79.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions709
Removal or shaving of skin growth11
Skin biopsy464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238821MAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James River Dermatology PLLC Dermatology CurrentSince Nov 9, 2010 Accepting new patients
James River Dermatology PLLC CurrentSince Nov 9, 2010 Accepting new patients
Avenues Dermatology PLLC PastSince Sep 1, 2011 Accepting new patients

Locations

6372 Mechanicsville Tpke
Ste 103
Mechanicsville, VA 23111
Phone (804) 379-0116

1316 Alverser Plz
Midlothian, VA 23113
Phone (804) 291-8636

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCHAA/Endpoint/AGCHAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCHAA

Organizations & group practices 3

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1053474759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72605",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232358017",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6372 Mechanicsville Tpke Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231114710",
            "country_code": "US",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "0101238821",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "0101238821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7682749",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1178927",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "192334",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.