Peter V Minneci, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101056398 Issued in VA

Practice address

11201 Nuckols Rd
Glen Allen, VA 23059-5502

Phone

(804) 887-8322

Fax

(804) 877-8321

NPI assigned

Mar 24, 2006

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pminneci2521092@direct.bsmhealth.org

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.

• Bon Secours Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1265160501
  Medicare reassignment Care Compare group NPD
• Rejuvinix, LLC

  • Physical Medicine & Rehabilitation Physician
  • Virginia Beach, VA
  • NPI 1710409529
  Medicare reassignment NPD
• Primary Health Group Inc

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1578504452
  NPD (past)
• Primary Health Group Inc

  dba Physicians of Family Medicine Oxbridge

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1720265606
  NPD (past)
• Tri-City Multi-Specialty, LLC

  • Family Medicine Physician
  • Hopewell, VA
  • NPI 1134450448
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1073573812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631863",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 NUCKOLS RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595502",
            "telephone_number": "804-887-8322",
            "fax_number": "804-877-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNECI",
        "first_name": "PETER",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101056398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Miller
• Zadok Miller
• Whitney Mills, FNP-C
• Mindful Hearts
• Mindful Paths Psychiatric Services (Mindful Paths Psychiatry)
• Miraja MD PA Inc
• Tyler Jakob Miranda
• Missouri Gateway Health, LLC
• MJ Babik DDS and Associates LTD (Crossridge Family and Cosmetic Dentistry)
• Stephanie A Mock, CPHT

• Family Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.