Individual provider Active NPI

Christa Marie Thornberry, MD

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1093798357
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D85301 Issued in MD
Practice address
3013 Kensington Ave
Richmond, VA 23221-2420
Phone
(314) 888-5233
Fax
(276) 835-4697
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101 057666 VA
Hospitalist Physician 208M00000X D85301 MD
Pediatrics Physician 208000000X D85301 MD Primary

Addresses

Primary practice location

3013 Kensington Ave
Richmond, VA 23221-2420

Mailing address

3013 Kensington Ave
Richmond, VA 23221-2420
Phone (143) 888-5233

Other practice location 1

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-4000

Other identifiers 2

IdentifierTypeStateIssuer
136847OtherVABLUE CROSS
6737111MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, MD, ME4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20131001000124 VA Practitioner - HospitalistPractitioner - Pediatric Medicine 1153555347 Reassigns benefits to 4 organizations
I20171010001642 NC Practitioner - Pediatric Medicine 1153555347 Reassigns benefits to 1 organization
I20180606000385 MD Practitioner - HospitalistPractitioner - Pediatric Medicine 1153555347 Reassigns benefits to 3 organizations
I20180921002447 ME Practitioner - Pediatric Medicine 1153555347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Pediatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Catholic Doctor PLLCGroup PAC ID 7214367101, 25 clinicians
Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians

Practice addresses (Care Compare)

3013 Kensington Ave
Richmond, VA 23221-2420
Phone (314) 888-5233

5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101 057666VAMDPediatrics Physician
D85301MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Civista LLC Hospitalist CurrentSince Apr 15, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Jul 29, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. Pediatrics CurrentSince Apr 29, 2018 Accepting new patients
Southeastern Intensivist Services PC Hospitalist CurrentSince Jan 29, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 14, 2022 Accepting new patients
Adfinitas Health at Fauquier, LLC Hospitalist CurrentSince Aug 1, 2018 Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
Central Maine Medical Center CurrentSince Jul 29, 2018 Accepting new patients
Uva Community Health Medical Group, LLC Hospitalist CurrentSince Jun 14, 2022 Accepting new patients
Mdics at Calvert LLC Hospitalist CurrentSince Mar 1, 2019 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 29, 2018 Accepting new patients
Civista Medical Center Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
#611
Richmond, VA 23225
Phone (540) 498-4000

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: cthornberry547875@direct.umm.edu
  • Direct secure messaging: guk9221@yourcarecommunity.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1093798357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 KENSINGTON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212420",
            "telephone_number": "143-888-5233",
            "fax_number": "276-835-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 KENSINGTON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212420",
            "telephone_number": "314-888-5233",
            "fax_number": "276-835-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784017",
            "country_code": "US",
            "telephone_number": "410-535-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101 057666",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D85301",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D85301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "136847",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6737111",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.