Individual provider Active NPI

Eric V. Obie, MD

  • Emergency Medicine Physician
  • Newport News, VA
National Provider Identifier
1063479673
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101230891 Issued in VA
Practice address
12997 Warwick Blvd
Michumi, PLLC Dba MD Express
Newport News, VA 23602-8352
Phone
(757) 369-9446
Fax
(757) 369-9554
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101230891 VA Primary

Addresses

Primary practice location

12997 Warwick Blvd
Michumi, PLLC Dba MD Express
Newport News, VA 23602-8352

Mailing address

PO Box 5508
Virginia Beach, VA 23471-0508
Phone (757) 340-3489

Other identifiers 1

IdentifierTypeStateIssuer
1063479673MedicaidVA

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
I20080103000353 VA Practitioner - Emergency Medicine 1850471863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michumi PLLCGroup PAC ID 5193784395, 40 clinicians

Practice addresses (Care Compare)

120 Monticello Ave
Williamsburg, VA 23185-2840
Phone (757) 564-3627

12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446

4740 George Washington Memorial Hwy
Grafton Square Suite a
Yorktown, VA 23693-2512
Phone (757) 890-6339

6567 George Washington Memorial Hwy
Gloucester, VA 23061-3754
Phone (804) 824-9962

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michumi PLLC Emergency Medicine CurrentSince Nov 6, 2011 Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine Past Accepting new patients

Locations

3321 W Mercury Blvd
Hampton, VA 23666
Phone (757) 224-0056

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

12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357

120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627

4740 George Washington Mem Hwy
Ste A
Yorktown, VA 23692
Phone (757) 890-6339

Interoperability endpoints

  • Direct secure messaging: eobie26038@direct.rivhs.com

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1063479673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5508",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234710508",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "address_2": "MICHUMI, PLLC DBA MD EXPRESS",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028352",
            "telephone_number": "757-369-9446",
            "fax_number": "757-369-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIE",
        "first_name": "ERIC",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101230891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063479673",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.