NPIMap

Individual provider Active NPI

Alexandra J Tate, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1184608762
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101051573 Issued in VA
Practice address
7611 Forest Ave
Suite 200
Richmond, VA 23229-4946
Phone
(804) 288-4084
Fax
(804) 288-3567
NPI assigned
Dec 6, 2005
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101051573 VA Primary

Addresses

Primary practice location

7611 Forest Ave
Suite 200
Richmond, VA 23229-4946

Mailing address

7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 288-4084

Other identifiers 1

IdentifierTypeStateIssuer
1184608762MedicaidVA

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
I20100126000375 VA Practitioner - Obstetrics/Gynecology 0042352270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084

6600 W Broad St
Suite 100
Richmond, VA 23230-1709
Phone (804) 288-4087

7515 Right Flank Rd
Mechanicsville, VA 23116-3818
Phone (804) 288-4084

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051573VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Family Medicine CurrentSince Apr 18, 2018 Accepting new patients
Virginia Womens Center Inc CurrentSince Jan 1, 2011 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 18, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients
Summit Health Care Inc Past Accepting new patients
Summit Health Care, Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

930 South Ave
Ste 2
Colonial Hgts, VA 23834
Phone (804) 520-8272

8644 Sudley Rd
#220
Manassas, VA 20110

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

6600 W Broad St
Ste 100
Richmond, VA 23230
Phone (804) 288-4087

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

7611 Forest Ave
Ste 200
Richmond, VA 23229

Interoperability endpoints

  • Direct secure messaging: alexandra.tate.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1184608762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "telephone_number": "804-288-4084",
            "fax_number": "804-288-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ALEXANDRA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101051573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184608762",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.