Individual provider Active NPI

Micah Martin Vaughn-Valencia, MD

  • Maternal & Fetal Medicine Physician
  • Seattle, WA
National Provider Identifier
1083144778
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD.MD.70162304 Issued in WA
Practice address
747 Broadway
Seattle, WA 98122-4307
Phone
(206) 386-6000
NPI assigned
Jun 14, 2017
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S8260 TX
Maternal & Fetal Medicine Physician 207VM0101X 0101281541 VA
Maternal & Fetal Medicine Physician 207VM0101X MD.MD.70162304 WA Primary

Addresses

Primary practice location

747 Broadway
Seattle, WA 98122-4307

Mailing address

1317B Minor Ave
Seattle, WA 98101-2851
Phone (903) 327-5546

Other practice location 1

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-4409

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-4409

Other practice location 3

1300 Hospital Dr Ste 200
Fredericksburg, VA 22401-8451
Phone (540) 741-3260

Other practice location 4

9105 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 828-4409

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
I20241114002951 VA Practitioner - Obstetrics/Gynecology 7416481304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

7515 Right Flank Rd
Mechanicsville, VA 23116-3818
Phone (804) 288-4084

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38003OKMDObstetrics & Gynecology Physician
BP10060908TXMDObstetrics & Gynecology Physician
S8260TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Mary Washington Healthcare Physicians Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
MCV Associated Physicians Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 1, 2025 Accepting new patients
Privia Medical Group, LLC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1300 Hospital Dr
Ste 200
Fredericksburg, VA 22401
Phone (540) 741-3260

8644 Sudley Rd
#220
Manassas, VA 20110

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1250 E Marshall St
#980034
Richmond, VA 23298
Phone (804) 828-8614

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

9105 Stony Point Dr
Richmond, VA 23235
Phone (804) 287-6100

Interoperability endpoints

  • Direct secure messaging: micah.vaughn-valencia.1@8042.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1083144778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317B MINOR AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012851",
            "telephone_number": "903-327-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224307",
            "telephone_number": "206-386-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-828-4409",
            "fax_number": "804-806-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-4409",
            "fax_number": "804-806-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Hospital Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018451",
            "country_code": "US",
            "telephone_number": "540-741-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9105 Stony Point Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351979",
            "country_code": "US",
            "telephone_number": "804-828-4409",
            "fax_number": "804-327-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN-VALENCIA",
        "first_name": "MICAH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S8260",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "0101281541",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "MD.MD.70162304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.