Active NPI
Annam Abbasi, M.D.
- Obstetrics & Gynecology Physician
- Prince George, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101272071
- 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.
-
- Obstetrics & Gynecology Physician
- North Chesterfield, VA
- NPI 1639137979
Obstetrics & Gynecology, VA
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1801831656
-
- Gynecologic Oncology Physician
- North Chesterfield, VA
- NPI 1285764738
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
Hospital
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
Practice addresses (Care Compare)
1212 Koger Ctr Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100
Hospital & facility affiliations
- CJW Medical Center
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101272071 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Physicians for Women LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Central Virginia Gynecologic Oncology PC | Past | 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
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101272071 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.