NPIMap

Individual provider Active NPI

Niurka Lydia Monteserin, MD

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
National Provider Identifier
1083237853
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101281803 Issued in VA
Practice address
13801 St Francis Blvd Ste 100
Midlothian, VA 23114-3206
Phone
(804) 288-4084
NPI assigned
May 27, 2020
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101281803 VA Primary

Addresses

Primary practice location

13801 St Francis Blvd Ste 100
Midlothian, VA 23114-3206

Mailing address

7130 Glen Forest Dr Ste 101
Richmond, VA 23226-3754
Phone (804) 288-4084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004357 VA Practitioner - Obstetrics/Gynecology 1456778307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Douglas Avery and Associates LTDGroup PAC ID 3971412818, shared by 5 NPIs, 48 clinicians

Practice addresses (Care Compare)

12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084

12725 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 245-8430

13801 St Francis Blvd
Suite 100
Midlothian, VA 23114-3206
Phone (804) 288-4084

6600 W Broad St
Suite 100
Richmond, VA 23230-1709
Phone (804) 288-4087

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
0101281803VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

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

8644 Sudley Rd
#220
Manassas, VA 20110

13801 St Francis Blvd
Ste 100
Midlothian, VA 23114
Phone (804) 288-4081

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nikki.monteserin.1@8042.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1083237853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 ST FRANCIS BLVD STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143206",
            "telephone_number": "804-288-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESERIN",
        "first_name": "NIURKA",
        "middle_name": "LYDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101281803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.