Individual provider Active NPI

Sherin Moideen, MD

  • Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1215218854
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101258089 Issued in VA
Practice address
3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339
Phone
(804) 336-2885
Fax
(804) 315-2341
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101258089 VA Primary
Psychiatry Physician 2084P0800X MD210001614 DC

Addresses

Primary practice location

3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339

Mailing address

3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339
Phone (804) 336-2885

Other identifiers 1

IdentifierTypeStateIssuer
0OtherDCO

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
I20161213001014 VA Practitioner - Psychiatry 3072753391 Practice locations: Richmond, VA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 Westerre Pkwy
Suite 300
Richmond, VA 23233-1339
Phone (804) 336-2885

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210001614DCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1215218854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331339",
            "telephone_number": "804-336-2885",
            "fax_number": "804-315-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331339",
            "telephone_number": "804-336-2885",
            "fax_number": "804-315-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIDEEN",
        "first_name": "SHERIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101258089",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210001614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.