Individual provider Active NPI

Julie L Blommel, MD

  • Obstetrics & Gynecology Physician
  • Charlottesville, VA
National Provider Identifier
1275512519
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101041955 Issued in VA
Practice address
920 E High St Ste 201
Charlottesville, VA 22902-4850
Phone
(434) 654-2870
NPI assigned
Jan 13, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101041955 VA Primary

Addresses

Primary practice location

920 E High St Ste 201
Charlottesville, VA 22902-4850

Mailing address

920 E High St Ste 201
Charlottesville, VA 22902-4850
Phone (434) 654-2870

Other identifiers 7

IdentifierTypeStateIssuer
48044MedicaidVA
267043OtherVAMAMSI
006211569MedicaidVA
204545OtherANTHEM SERVICES
700215297OtherCIGNA
142728OtherSOUTHERN HEALTH
48044OtherVACOMMUNITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111212000432 VA Practitioner - Obstetrics/Gynecology 4587834627 Reassigns benefits to 5 organizations
I20180709000973 DC Practitioner - Obstetrics/Gynecology 4587834627 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC CurrentSince May 1, 2024 Accepting new patients
River City OB/GYN, P.C. Obstetrics & Gynecology CurrentSince Sep 17, 2018 Accepting new patients
Virginia Womens Center Inc CurrentSince Dec 17, 2013 Accepting new patients
Dominion Women's Health, Inc. Obstetrics & Gynecology CurrentSince Apr 12, 2014 Accepting new patients

Locations

920 E High St
Ste 201
Charlottesville, VA 22902
Phone (434) 654-1950

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

13700 St Francis Blvd
Ste 603
Midlothian, VA 23114
Phone (804) 362-0808

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1275512519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E HIGH ST STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024850",
            "telephone_number": "434-654-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E HIGH ST STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024850",
            "telephone_number": "434-654-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMMEL",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101041955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48044",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "267043",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006211569",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SERVICES",
            "identifier": "204545",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "700215297",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "142728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "48044",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.