Tracey C Deal, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101053916 Issued in VA

Practice address

1001 Hioaks Rd
Richmond, VA 23225-4029

Phone

(804) 320-7139

Fax

(804) 323-0153

NPI assigned

Apr 5, 2006

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Associates PC

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1295794154

  Specialist

  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1275595118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254029",
            "telephone_number": "804-320-7139",
            "fax_number": "804-323-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254029",
            "telephone_number": "804-320-7139",
            "fax_number": "804-323-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "TRACEY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101053916",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101053916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006724744",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia De Mendoza
• Ruth De Paz
• Abby De Santis, RN
• Marjolein De Wit
• Clifford Lanier Deal III, M.D.
• Carolyn F Dean, CRNA
• Colin Patrick Dean, DO
• Matthew Dean, MA
• Michelle Susan Dean, LCSW
• Stacey Renee Dean, PHARMD

• Pediatrics Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.