Mary Arrieta, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101036597 Issued in VA

Practice address

34 Medical Park Blvd Ste F
Petersburg, VA 23805-9283

Phone

(804) 520-8135

Fax

(804) 520-8092

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 15, 2020 through Jan 15, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southside Pediatric Center

  • Clinic/Center
  • Colonial Heights, VA
  • NPI 1477750024
  NPD (past) Authorized official

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1083695209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MEDICAL PARK BLVD STE F",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059283",
            "telephone_number": "804-520-8135",
            "fax_number": "804-520-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MEDICAL PARK BLVD STE F",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059283",
            "telephone_number": "804-520-8135",
            "fax_number": "804-520-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIETA",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101036597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6714412",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saeed Anwar, MD
• Appomattox River Oral and Facial Surgery P.C.
• Armos
• Armslength Community Support Services, LLC
• Array Business and Technology
• Acula Akeem Arrington, QPPMH
• Ashley Elise Arroyo, PA-C
• Shelita Renee Augustus
• Haluk K Aydin, MD
• B&M Heavenly Hands Home Care Inc.

• Pediatrics Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.