NPIMap

Individual provider Active NPI

Michaela Varys, MD

  • Family Medicine Physician
  • Petersburg, VA
National Provider Identifier
1053947986
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101278165 Issued in VA
Practice address
3335 S Crater Rd
Petersburg, VA 23805-9396
Phone
(804) 765-5445
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101278165 VA Primary

Addresses

Primary practice location

3335 S Crater Rd
Petersburg, VA 23805-9396

Mailing address

3709 Old Gun Rd W
Midlothian, VA 23113-2019
Phone (980) 250-4759

Other practice location 1

13540 Hull Street Rd
Midlothian, VA 23112-2107
Phone (804) 739-6142

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
I20240320001032 VA Practitioner - Family Practice 0446697965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Maimon PLLCGroup PAC ID 8921445438, 2 clinicians

Practice addresses (Care Compare)

6900 Forest Ave
Suite 115
Richmond, VA 23230-1730
Phone (804) 893-8710

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Petersburg, VA, CCN 497598
  • Nayar Health Care LLC Home health agency, Ashland, VA, CCN 497743
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue383
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101278165VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Bon Secours St. Francis Medical Center LLC Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Bon Secours St. Francis Medical Center LLC CurrentSince Jun 15, 2024 Accepting new patients
Maimon PLLC CurrentSince Feb 1, 2024 Accepting new patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients

Locations

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

611 Watkins Centre Pkwy
Ste 150
Midlothian, VA 23114
Phone (804) 765-6715

13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400

3335 S Crater Rd
Ste 700
Petersburg, VA 23805
Phone (804) 504-8100

6900 Forest Ave
Ste 115
Richmond, VA 23230
Phone (804) 893-8708

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1053947986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 OLD GUN RD W",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132019",
            "telephone_number": "980-250-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059396",
            "telephone_number": "804-765-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13540 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122107",
            "country_code": "US",
            "telephone_number": "804-739-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARYS",
        "first_name": "MICHAELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101278165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.