Active NPI
Kerry C Prewitt, M.D.
- Cardiovascular Disease Physician
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101041337
- Practice address
- 113 Bulifants Blvd Ste a
Williamsburg, VA 23188-5719 - Phone
- (804) 520-1764
- NPI assigned
- Sep 6, 2005
- Last updated
- Aug 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0057329 | MD | |
| Interventional Cardiology Physician | 207RI0011X | D0057329 | MD | |
| Interventional Cardiology Physician | 207RI0011X | 0101041337 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | 0101041337 | VA | Primary |
Addresses
Primary practice location
113 Bulifants Blvd Ste a
Williamsburg, VA 23188-5719
Mailing address
445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764
Other practice location 1
400 Sentara Cir
Ste 320
Williamsburg, VA 23188-5716
Phone (757) 345-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255325254 | Medicaid | VA | |
| 759502600 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Emory University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Bulifants Blvd
Suite a
Williamsburg, VA 23188-5719
Phone (757) 561-2162
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| James River Cardiology, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Northern Virginia Cardiology Associates, PC | Cardiovascular Disease | Past | Accepting new patients |
| St. Joseph Physician Enterprise | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Saint Joseph Medical Center , Inc. | Past | Accepting new patients | |
| Midatlantic Cardiovascular Associates PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
113 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 220-3375
400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300
400 Sentara Cir
Ste 320A
Williamsburg, VA 23188
Phone (757) 345-4300
Interoperability endpoints
- kerry.prewitt.1@31267.direct.athenahealth.com
- kprewitt247782@direct.sentara.net
Organizations & group practices 7
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.
-
dba Colonial Heart
- Cardiovascular Disease Physician
- Colonial Heights, VA
- NPI 1407157647
-
- Cardiovascular Disease Physician
- Fairfax, VA
- NPI 1063419927
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1821084112
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1699862961
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1518143304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Doctors Hospital Williamsburg
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1275893307
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754697600000",
"number": "1255325254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 CHARLES H DIMMOCK PKWY STE 100",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342990",
"telephone_number": "804-520-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 BULIFANTS BLVD STE A",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885719",
"telephone_number": "804-520-1764"
}
],
"practiceLocations": [
{
"address_1": "400 Sentara Cir",
"address_2": "Ste 320",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231885716",
"country_code": "US",
"telephone_number": "757-345-4800",
"fax_number": "757-345-4801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREWITT",
"first_name": "KERRY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2025-08-09",
"certification_date": "2025-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0057329",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MD",
"license": "D0057329",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101041337",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101041337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255325254",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "759502600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.