Individual provider Active NPI

Yotom Rabinowitz

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Richmond, VA
National Provider Identifier
1275037640
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
0438000465 Issued in VA
Practice address
521 N 11TH St RM 311
Richmond, VA 23298-5016
Phone
(804) 828-3584
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 0438000465 VA Primary

Addresses

Primary practice location

521 N 11TH St RM 311
Richmond, VA 23298-5016

Mailing address

PO Box 980566
Richmond, VA 23298-0566
Phone (804) 828-3584

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000444 VA Practitioner - Oral Surgery 2466708557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vcu Oral-Facial Surgery and Services LLCGroup PAC ID 7416349022, 7 clinicians

Practice addresses (Care Compare)

520 N 12TH St
Richmond, VA 23298-5064
Phone (804) 828-3769

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0438000465VAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Vcu Oral-Facial Surgery and Services LLC Oral & Maxillofacial Surgery CurrentSince Nov 1, 2022 Accepting new patients
Dentistry Vcu PastSince Aug 7, 2022 Accepting new patients

Locations

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

521 N 12th St
Richmond, VA 23298
Phone (804) 828-2977

521 N 11th St
Rm 311
Richmond, VA 23298
Phone (804) 828-3584

520 N 12th St
Richmond, VA 23298
Phone (804) 628-6637

1001 E Leigh St
Fl 14
Richmond, VA 23298
Phone (804) 628-4368

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 3

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1275037640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980566",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980566",
            "telephone_number": "804-828-3584",
            "fax_number": "804-828-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N 11TH ST RM 311",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985016",
            "telephone_number": "804-828-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOWITZ",
        "first_name": "YOTOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.