Individual provider Active NPI

Philip P Valmores, D.O.

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1063773778
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102203979 Issued in VA
Practice address
7001 Forest Ave Ste 103
Richmond, VA 23230-1726
Phone
(804) 285-6811
Fax
(804) 281-7264
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102203979 VA Primary

Addresses

Primary practice location

7001 Forest Ave Ste 103
Richmond, VA 23230-1726

Mailing address

7001 Forest Ave Ste 103
Richmond, VA 23230-1726
Phone (804) 285-6811

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
I20150817000055 VA Practitioner - Pediatric Medicine 7618295239 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102203979VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince Aug 1, 2015 Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Regenpro Wound Specialty Group - Hampton Roads, LLC CurrentSince Dec 1, 2024 Accepting new patients
Regenpro LLC Pediatrics CurrentSince Jul 31, 2024 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Pediatrics Current Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Past Accepting new patients

Locations

2809 Emerywood Pkwy
Ste 330E
Henrico, VA 23294
Phone (434) 264-1233

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

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

7347 Bell Creek Rd
Ste 100
Mechanicsvlle, VA 23111
Phone (804) 730-4690

1915 Huguenot Rd
Ste 102A
North Chesterfield, VA 23235
Phone (434) 264-1233

3218 High St
Portsmouth, VA 23707
Phone (434) 264-1233

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

Interoperability endpoints

  • Direct secure messaging: pvalmores1156557@direct.bsmhealth.org

Organizations & group practices 7

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1063773778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-285-6811",
            "fax_number": "804-281-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-285-6811",
            "fax_number": "804-281-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALMORES",
        "first_name": "PHILIP",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102203979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.