Individual provider Active NPI

Allison L Freeman, M.D.

  • Allergy & Immunology Physician
  • North Chesterfield, VA
National Provider Identifier
1164415477
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101053465 Issued in VA
Practice address
1459 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone
(804) 794-9477
Fax
(804) 794-1793
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X 306604 NY
Allergy & Immunology Physician 207K00000X 0101053465 VA Primary
Pediatric Allergy/Immunology Physician 2080P0201X 429162 PA

Addresses

Primary practice location

1459 Johnston Willis Dr
North Chesterfield, VA 23235-4730

Mailing address

1459 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 794-9477

Other practice location 1

7702 E Parham Rd Ste 301
Henrico, VA 23294-4375
Phone (804) 527-1190

Other identifiers 2

IdentifierTypeStateIssuer
1017188510002MedicaidPA
06077756MedicaidNY

Other names 1

  • Allison L Redfearn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200903001245 NY Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 9638191752 Reassigns benefits to 1 organization
I20241105002687 VA Practitioner - Allergy/Immunology 9638191752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Toronto, Faculty of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Center LLCGroup PAC ID 7719909639, 35 clinicians

Practice addresses (Care Compare)

7702 E Parham Rd
Suite 301
Henrico, VA 23294-4375
Phone (804) 527-1190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101053465VAMDAllergy & Immunology Physician
429162PAMDPediatric Allergy/Immunology Physician
306604NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Center LLC Allergy & Immunology CurrentSince Sep 1, 2024 Accepting new patients
University at Buffalo Pediatric Associates Inc CurrentSince Aug 1, 2020 Accepting new patients
Geisinger Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1001 Main St
Buffalo, NY 14203
Phone (716) 323-0225

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

1459 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 794-9477

7702 E Parham Rd
Ste 301
Richmond, VA 23294
Phone (804) 527-1190

4565 Daisy Reid Ave
Ste 120
Woodbridge, VA 22192
Phone (703) 490-5803

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1164415477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-794-9477",
            "fax_number": "804-794-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-794-9477",
            "fax_number": "804-794-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7702 E Parham Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232944375",
            "country_code": "US",
            "telephone_number": "804-527-1190",
            "fax_number": "804-527-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "306604",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101053465",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "PA",
            "license": "429162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017188510002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06077756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "REDFEARN",
            "middle_name": "L",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.