Individual provider Active NPI

Diana Hernandez Drozdowicz, MD

  • Physical Medicine & Rehabilitation Physician
  • Colonial Heights, VA
National Provider Identifier
1104905231
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101256434 Issued in VA
Practice address
3115 Atlantic Ave
Colonial Heights, VA 23834-2901
Phone
(215) 840-4624
Fax
(804) 451-0535
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A95733 CA
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 0101256434 VA
Physical Medicine & Rehabilitation Physician 208100000X 4301099875 MI
Physical Medicine & Rehabilitation Physician 208100000X 0101256434 VA Primary

Addresses

Primary practice location

3115 Atlantic Ave
Colonial Heights, VA 23834-2901

Mailing address

3115 Atlantic Ave
Colonial Heights, VA 23834-2901
Phone (215) 840-4624

Other identifiers 2

IdentifierTypeStateIssuer
1104905231MedicaidVA
4301099875OtherMISTATE OF MICHIGAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Diana.drozdowicz@drozrehab.com Health Information Exchange (HIE)
Direct Messaging Address Diana.drozdowicz@drozrehab.com Health Information Exchange (HIE)

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
I20140908002683 VA Practitioner - Physical Medicine and Rehabilitation 6103086418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Drexel University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

909 Hioaks Rd
Suite FG
Richmond, VA 23225-4038
Phone (804) 330-5452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95733CAMDPhysical Medicine & Rehabilitation Physician
4301099875MIMDPhysical Medicine & Rehabilitation Physician
0101256434VAMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Center LLC CurrentSince Feb 26, 2024 Accepting new patients
Salman M Akbar CurrentSince May 1, 2021 Accepting new patients

Locations

14830 Hull Street Rd
Chesterfield, VA 23832
Phone (804) 330-5452

909 Hioaks Rd
Ste Fg
Richmond, VA 23225
Phone (804) 330-5452

909 Hioaks Rd
Ste F
Richmond, VA 23225
Phone (804) 308-2853

Organizations & group practices 2

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1104905231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ATLANTIC AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342901",
            "telephone_number": "215-840-4624",
            "fax_number": "804-451-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ATLANTIC AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342901",
            "telephone_number": "215-840-4624",
            "fax_number": "804-451-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZDOWICZ",
        "first_name": "DIANA",
        "middle_name": "HERNANDEZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A95733",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "VA",
            "license": "0101256434",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301099875",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101256434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104905231",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "4301099875",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.drozdowicz@drozrehab.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3115 Atlantic Ave",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238342901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.drozdowicz@drozrehab.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3115 Atlantic Ave",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238342901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.