NPIMap

Individual provider Active NPI

Raisa Ghosh, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Petersburg, VA
National Provider Identifier
1225515208
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101280855 Issued in VA
Practice address
50 Medical Park Blvd Ste a
Petersburg, VA 23805-9275
Phone
(804) 765-5901
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101280855 VA Primary

Addresses

Primary practice location

50 Medical Park Blvd Ste a
Petersburg, VA 23805-9275

Mailing address

PO Box 639969
Cincinnati, OH 45263-9969

Other practice location 1

511 Belfield Dr
Emporia, VA 23847-1217
Phone (434) 532-7194

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
I20241109000219 VA Practitioner - Internal Medicine 8426582768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

50 Medical Park Blvd
Petersburg, VA 23805-9275

511 Belfield Dr
Emporia, VA 23847-1217
Phone (434) 336-1222

Hospital & facility affiliations

  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

511 Belfield Dr
Emporia, VA 23847
Phone (434) 348-4680

50 Medical Park Blvd
Ste A
Petersburg, VA 23805
Phone (804) 732-1286

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: rghosh2667410@direct.bsmhealth.org

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1225515208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639969",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK BLVD STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059275",
            "telephone_number": "804-765-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Belfield Dr",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471217",
            "country_code": "US",
            "telephone_number": "434-532-7194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "RAISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101280855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.