Active NPI
Rebecca Suzanne Kaiser, MD
- Dermatology Physician
- Mechanicsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101264118
- Practice address
- 7016 Lee Park Rd Ste 100
Mechanicsville, VA 23111-3620 - Phone
- (804) 549-4040
- Fax
- (804) 549-4032
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101264118 | VA | Primary |
Addresses
Primary practice location
7016 Lee Park Rd Ste 100
Mechanicsville, VA 23111-3620
Mailing address
201 Concourse Blvd Ste 200
Glen Allen, VA 23059-5640
Phone (804) 549-4040
Other practice location 1
5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 702-1000
Other practice location 2
6946 Forest Ave Ste 200
Richmond, VA 23230-1701
Phone (804) 549-4040
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.71 of 100
- Quality
- 70.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Richmond PC | Dermatology | Current | Accepting new patients |
| Hanover Dermatology PC | Dermatology | Current | Accepting new patients |
Locations
301 Concourse Blvd
Ste 190
Glen Allen, VA 23059
201 Concourse Blvd
Ste 200
Glen Allen, VA 23059
7016 Lee Park Rd
Ste 100
Mechanicsvlle, VA 23111
Phone (804) 549-4040
6946 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 285-2006
7201 Glen Forest Dr
Ste 100
Richmond, VA 23226
Interoperability endpoints
- rebeccakaiser@da.allscriptsdirect.net
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.
-
- Dermatology Physician
- Richmond, VA
- NPI 1316952716
-
- Dermatology Physician
- Mechanicsville, VA
- NPI 1033117049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1144630195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CONCOURSE BLVD STE 200",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595640",
"telephone_number": "804-549-4040",
"fax_number": "804-549-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 LEE PARK RD STE 100",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113620",
"telephone_number": "804-549-4040",
"fax_number": "804-549-4032"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371447",
"country_code": "US",
"telephone_number": "773-702-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6946 Forest Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232301701",
"country_code": "US",
"telephone_number": "804-549-4040",
"fax_number": "804-549-4032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAISER",
"first_name": "REBECCA",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101264118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.