NPIMap

Individual provider Active NPI

Michael J Petrizzi, MD

  • Family Medicine Physician
  • Mechanicsville, VA
National Provider Identifier
1114930393
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101041165 Issued in VA
Practice address
9376 Atlee Station Rd
Hanover Family Physicians PC
Mechanicsville, VA 23116
Phone
(804) 730-0990
Fax
(804) 730-8752
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101041165 VA Primary

Addresses

Primary practice location

9376 Atlee Station Rd
Hanover Family Physicians PC
Mechanicsville, VA 23116

Mailing address

9376 Atlee Station Rd
Hanover Family Physicians PC
Mechanicsville, VA 23116
Phone (804) 730-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000167 VA Practitioner - Sports MedicinePractitioner - Family Practice 0042397861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone (804) 730-0990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
NPI 1477614964 CurrentSince Jan 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Virginia Physicians, Inc. Family Medicine Past Accepting new patients

Locations

7255 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (804) 723-3766

9376 Atlee Station Rd
Mechanicsvlle, VA 23116
Phone (804) 730-0990

Interoperability endpoints

  • Direct secure messaging: michael.petrizzi@vpi.eclinicaldirectplus.com

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1114930393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "address_2": "HANOVER FAMILY PHYSICIANS PC",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-730-0990",
            "fax_number": "804-730-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9376 ATLEE STATION RD",
            "address_2": "HANOVER FAMILY PHYSICIANS PC",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-730-0990",
            "fax_number": "804-730-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIZZI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.