Active NPI
Michael P Grimes, MD
- Obstetrics Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 0101243328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243328 | VA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Virginia, LLC | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Obstetrics | Current | Accepting new patients |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Demc, Inc | Past | Accepting new patients | |
| Khadijah Y. Jordan, MD.,PC | Past | 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.
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
-
- Women's Hospital
- Chesapeake, VA
- NPI 1770765612
-
- Obstetrics & Gynecology Physician
- Chesapeake, VA
- NPI 1912014093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.