Individual provider Active NPI

Annam Abbasi, M.D.

  • Obstetrics & Gynecology Physician
  • Prince George, VA
National Provider Identifier
1104359181
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101272071 Issued in VA
Practice address
1775 Lake Harley Dr
Prince George, VA 23875-1259
Phone
(804) 897-2100
Fax
(804) 897-9074
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians for Women, LTD 46 clinicians

Practice addresses (Care Compare)

1212 Koger Ctr Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

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
I20210621001839 VA Practitioner - Obstetrics/Gynecology 2769882216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101272071VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Aug 16, 2021 Accepting new patients
Central Virginia Gynecologic Oncology PC PastSince Feb 6, 2022 Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

1212 Koger Center Blvd
North Chesterfield, VA 23235
Phone (804) 408-4654

10710 Midlothian Tpke
Ste 200
North Chesterfield, VA 23235

1775 Lake Harley Dr
Prince George, VA 23875

5875 Bremo Rd
Ste 201
Richmond, VA 23226

7611 Forest Ave
Ste 200
Richmond, VA 23229

7605 Forest Ave
Ste 206
Richmond, VA 23229
Phone (804) 272-5808

1630 Wilkes Ridge Pkwy
Ste 200
Richmond, VA 23233
Phone (804) 804-8972

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101272071 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

1775 Lake Harley Dr
Prince George, VA 23875-1259

Mailing address

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2022.

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1104359181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 LAKE HARLEY DR",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751259",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "ANNAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101272071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

Verify at the official NPI Registry.