Individual provider Active NPI

Evelyn Duran Arboleda, MD

  • Psychiatry Physician
  • Yorktown, VA
National Provider Identifier
1063503365
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101033982 Issued in VA
Practice address
205 Hampton Hwy
Yorktown, VA 23693
Phone
(757) 865-1843
Fax
(757) 865-7485
NPI assigned
Sep 28, 2006
Last updated
Oct 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101033982 VA Primary

Addresses

Primary practice location

205 Hampton Hwy
Yorktown, VA 23693

Mailing address

205 Hampton Hwy
Yorktown, VA 23693-3512
Phone (757) 865-1843

Other identifiers 3

IdentifierTypeStateIssuer
109024000OtherVAMAGELLAN
000304OtherVAVALUE OPTIONS
7162120MedicaidVA

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
I20120307000216 VA Practitioner - Psychiatry 6406015668 Receives reassigned benefits from 3 practitioners
Practice locations: Yorktown, VA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
22.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101033982VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evelyn D. Arboleda MD PC PastSince Mar 17, 1987 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1063503365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933512",
            "telephone_number": "757-865-1843",
            "fax_number": "757-865-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23693",
            "telephone_number": "757-865-1843",
            "fax_number": "757-865-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBOLEDA",
        "first_name": "EVELYN",
        "middle_name": "DURAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101033982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "109024000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "000304",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7162120",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.