Individual provider Active NPI

Michael P Grimes, MD

  • Obstetrics Physician
  • Chesapeake, VA
National Provider Identifier
1104083971
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
0101243328 Issued in VA
Practice address
111 Medical Pkwy
Suite 202
Chesapeake, VA 23320-0302
Phone
(757) 436-2424
Fax
(757) 436-7012
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 0101243328 VA Primary

Addresses

Primary practice location

111 Medical Pkwy
Suite 202
Chesapeake, VA 23320-0302

Mailing address

111 Medical Pkwy
Suite 202
Chesapeake, VA 23320-0302
Phone (757) 436-2424

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
I20080708000293 VA Practitioner - Obstetrics/Gynecology 4981776937 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101243328VAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC CurrentSince Jun 5, 2023 Accepting new patients
Chesapeake Regional Medical Group Obstetrics CurrentSince Jan 1, 2025 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Demc, Inc Past Accepting new patients
Khadijah Y. Jordan, MD.,PC PastSince Oct 1, 2005 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

113 Gainsborough Sq
Ste 201
Chesapeake, VA 23320
Phone (757) 410-8745

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1104083971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY",
            "address_2": "SUITE 202",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-436-2424",
            "fax_number": "757-436-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY",
            "address_2": "SUITE 202",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-436-2424",
            "fax_number": "757-436-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "VA",
            "license": "0101243328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.