Individual provider Active NPI

Rebecca Suzanne Kaiser, MD

  • Dermatology Physician
  • Mechanicsville, VA
National Provider Identifier
1144630195
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101264118 Issued in VA
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

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905000760 VA Practitioner - Dermatology 6204137730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Richmond PC Dermatology CurrentSince Sep 4, 2018 Accepting new patients
Hanover Dermatology PC Dermatology CurrentSince Mar 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.