Active NPI
Devra M Sirot, MD
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1114068962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101230936
- Practice address
- 2038 John Rolfe Pkwy
Richmond, VA 23238-8111 - Phone
- (804) 288-7400
- Fax
- (804) 288-7460
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101230936 | VA | Primary |
| Family Medicine Physician | 207Q00000X | 10131R | LA | |
| Internal Medicine Physician | 207R00000X | 032514 | CT | |
| Internal Medicine Physician | 207R00000X | MD7707 | RI |
Addresses
Primary practice location
2038 John Rolfe Pkwy
Richmond, VA 23238-8111
Mailing address
9510 Gayton Rd
Richmond, VA 23229-5320
Phone (804) 405-2277
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138520 | Other | VA | BLUE CROSS BLUE SHIELD |
| 1464653 | Other | VA | CIGNA |
| 3470405 | Other | VA | AETNA |
| 239445 | Other | VA | SOUTHERN HEALTH |
| 010067979 | Medicaid | VA | |
| 010067511 | Other | VA | VA PREMIER PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10131R | LA | MD | Family Medicine Physician |
| MD7707 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaylord Hospital, Inc. | Past | Accepting new patients | |
| Primedoc St.Francis PC | Internal Medicine | Past | Accepting new patients |
| Immediate MD, PLLC | Family Medicine | Past | Accepting new patients |
| Correct Care, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1740303791
-
- Internal Medicine Physician
- Midlothian, VA
- NPI 1346207024
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1114068962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 GAYTON RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295320",
"telephone_number": "804-405-2277",
"fax_number": "804-288-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038 JOHN ROLFE PKWY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232388111",
"telephone_number": "804-288-7400",
"fax_number": "804-288-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIROT",
"first_name": "DEVRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101230936",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "10131R",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "032514",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD7707",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "138520",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1464653",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3470405",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "239445",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010067979",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER PLAN",
"identifier": "010067511",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.