NPIMap

Individual provider Active NPI

Pablo Bedoya, M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1184800328
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101254695 Issued in VA
Practice address
7650 E Parham Rd Ste 210
Richmond, VA 23294-4306
Phone
(804) 272-2702
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102914 CA
Internal Medicine Physician 207R00000X 0101254695 VA Primary

Addresses

Primary practice location

7650 E Parham Rd Ste 210
Richmond, VA 23294-4306

Mailing address

7650 E Parham Rd Ste 210
Richmond, VA 23294-4306

Other identifiers 1

IdentifierTypeStateIssuer
1184800328MedicaidCA

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
I20140124001915 VA Practitioner - EndocrinologyPractitioner - Internal Medicine 8628130473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Emory University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Diabetes and Endocrinology PCGroup PAC ID 6800871278, 10 clinicians

Practice addresses (Care Compare)

7650 E Parham Rd
Richmond, VA 23294-4373
Phone (804) 272-2702

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102914CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Diabetes and Endocrinology PC CurrentSince Jul 5, 2020 Accepting new patients
Virginia Diabetes and Endocrinology PC CurrentSince Aug 3, 2020 Accepting new patients

Locations

348 Browns Hill Ct
Midlothian, VA 23114
Phone (804) 272-2702

7650 E Parham Rd
Ste 210
Richmond, VA 23294
Phone (804) 272-2702

7650 E Parham Rd
Richmond, VA 23294
Phone (804) 270-1302

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGBA

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.

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1184800328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD STE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 E PARHAM RD STE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944306",
            "telephone_number": "804-272-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102914",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101254695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184800328",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.