NPIMap

Organization Active NPI

Doctors' Hospital of Williamsburg

Doing business as Riverside Doctors Hospital Williamsburg

  • General Acute Care Hospital
  • Williamsburg, VA
National Provider Identifier
1275893307
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1937 Issued in VA
Legal business name
DOCTORS' HOSPITAL OF WILLIAMSBURG
Doing business as
Riverside Doctors Hospital Williamsburg
Practice address
1500 Commonwealth Avenue
Williamsburg, VA 23185
Phone
(757) 345-3000
Fax
(757) 345-0138
NPI assigned
May 23, 2012
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Walter W Austin Jr.
Title
Sr Vice President/Cfo
Phone
(757) 875-7545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H1937 VA Primary

Addresses

Primary practice location

1500 Commonwealth Avenue
Williamsburg, VA 23185

Mailing address

608 Denbigh Blvd
Suite 800
Newport News, VA 23608-4410
Phone (757) 875-7545

Other identifiers 1

IdentifierTypeStateIssuer
1275893307MedicaidVA

Other names 1

  • Riverside Doctors Hospital Williamsburg Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130212000160 VA Part A Provider - Hospital 7517111966 Practice locations: Williamsburg, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275893307. Details of each certification follow.

Hospital certification: CCN 490143

Legal name
DOCTORS' HOSPITAL OF WILLIAMSBURG
Doing business as
RIVERSIDE DOCTORS HOSPITAL OF WILLIAMSBURG
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 28, 2013
Last certification
May 28, 2013
Beds
40
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 23, 2008 in VA
Enrollment address
1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Riverside Doctors' Hospital of WilliamsburgCCN 490143 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

219 Bulifants Blvd
Ste C
Williamsburg, VA 23188
Phone (757) 378-5090

301 College Row
Ste 9101B
Williamsburg, VA 23185
Phone (757) 782-6250

3700 Battery Blvd
Ste 104
Williamsburg, VA 23185
Phone (757) 782-6340

5225 Settlers Market Blvd
Ste 200B
Williamsburg, VA 23188
Phone (757) 782-6650

5251 John Tyler Hwy
Ste 2
Williamsburg, VA 23185
Phone (757) 345-3795

5700 Warhill Trl
Ste A
Williamsburg, VA 23188
Phone (757) 378-5020

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susanna Hickman Individual Corporate DirectorBoard Member Feb 1, 2014
Robert J Courter Individual Corporate DirectorBoard Member Feb 1, 2017
Walter W Austin Individual Corporate OfficerEvp/Cfo/Board Treasurer Apr 29, 2013
Jason Houser Individual Corporate OfficerVP Corp Counsel/Board Secretary Feb 1, 2012
Andrew T Hill Individual Corporate DirectorBoard Member Feb 1, 2023
Claudia a McMurray Individual Corporate DirectorBoard Member Feb 1, 2024
Robert Ralph Harding Individual Corporate DirectorBoard Member Feb 1, 2024
Michael J Dacey Individual Corporate OfficerPresident/Ceo, RHS Feb 1, 2018
Corporate DirectorBoard Member Feb 1, 2018
Riverside Healthcare Association, Inc. Organization, Newport News, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 29, 2013 100%
Barbara J. Labonte Individual W-2 Managing EmployeeAvp Apr 29, 2013
Dana W Tomlin Individual Corporate DirectorBoard Member Feb 1, 2023
Eric Stone Individual Corporate DirectorBoard Member Feb 1, 2016
Rector & Visitors of the University of Virginia Organization, Charlottesville, VA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 10, 2023 5%
Riverside Integrated Services Inc Organization, Newport News, VA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 10, 2023 95%
Thomas M Kayrouz Individual Corporate OfficerCcoo, RHS Aug 28, 2023
Victor Holman Individual Corporate DirectorBoard Member Feb 1, 2024
Shawn a Flanagan Individual Corporate DirectorBoard Member Feb 1, 2020
Betsy C Anderson Individual Corporate DirectorBoard Member Feb 1, 2023
Adria N Vanhoozier Individual Corporate OfficerHospital President Oct 1, 2016

Owners & managing parties with NPI records 25

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 25

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Francis N. Sanders Nursing Home, Inc

    dba Riverside Lifelong Health & Rehabilitation Sanders

    • Nursing Facility/Intermediate Care Facility
    • Gloucester, VA
    • NPI 1356456644

    Rector & Visitors of the University of Virginia, Riverside Healthcare Association, Inc., Riverside Integrated Services Inc

    CMS ownership
  • Patrick Henry Hospital Inc

    dba The Gardens at Warwick Forest

    • Nursing Facility/Intermediate Care Facility
    • Newport News, VA
    • NPI 1013022268

    Riverside Healthcare Association, Inc.

    CMS ownership
  • Patrick Henry Hospital, Inc.

    dba Riverside Convalescent Center, Saluda

    • Nursing Facility/Intermediate Care Facility
    • Saluda, VA
    • NPI 1225143498

    Rector & Visitors of the University of Virginia, Riverside Healthcare Association, Inc., Riverside Integrated Services Inc

    CMS ownership
  • Patrick Henry Hospital, Inc.

    dba Riverside Convalescent Center, Mathews

    • Nursing Facility/Intermediate Care Facility
    • Mathews, VA
    • NPI 1255448379

    Rector & Visitors of the University of Virginia, Riverside Healthcare Association, Inc., Riverside Integrated Services Inc

    CMS ownership
  • Patrick Henry Hospital, Inc.

    dba Riverside Assisted Living at Smithfield

    • Skilled Nursing Facility
    • Smithfield, VA
    • NPI 1588779193

    Rector & Visitors of the University of Virginia, Riverside Healthcare Association, Inc., Riverside Integrated Services Inc

    CMS ownership
  • Patriots Colony, Inc.

    dba Patriots Colony at Williamsburg

    • Assisted Living Facility
    • Williamsburg, VA
    • NPI 1205945904

    Riverside Healthcare Association, Inc.

    CMS ownership
  • Rector & Visitors of the University of Virginia

    dba UVA Health Sciences Center

    • Psychiatric Hospital Unit
    • Charlottesville, VA
    • NPI 1184731507

    Rector & Visitors of the University of Virginia

    CMS ownership
  • Rector & Visitors of the University of Virginia

    dba Continuum Home Health Care

    • Home Health Agency
    • Charlottesville, VA
    • NPI 1265472286

    Rector & Visitors of the University of Virginia

    CMS ownership
  • Rector & Visitors of the University of Virginia

    dba UVA Health Sciences Center

    • General Acute Care Hospital
    • Charlottesville, VA
    • NPI 1780630608

    Rector & Visitors of the University of Virginia

    CMS ownership
  • Riverside Hospital Inc

    dba Riverside Hospice

    • Community Based Hospice Care Agency
    • Newport News, VA
    • NPI 1326045535

    Rector & Visitors of the University of Virginia, Riverside Healthcare Association, Inc., Riverside Integrated Services Inc

    CMS ownership
  • Riverside Hospital Inc

    dba Riverside Smithfield Hospital

    • General Acute Care Hospital
    • Smithfield, VA
    • NPI 1366259863

    Rector & Visitors of the University of Virginia, Riverside Integrated Services Inc

    CMS ownership
  • Riverside Hospital Inc

    dba Riverside Regional Medical Center

    • General Acute Care Hospital
    • Newport News, VA
    • NPI 1366547747

    Rector & Visitors of the University of Virginia, Riverside Healthcare Association, Inc., Riverside Integrated Services Inc

    CMS ownership
View all 23

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 492

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 492

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1275893307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DENBIGH BLVD",
            "address_2": "SUITE 800",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084410",
            "telephone_number": "757-875-7545",
            "fax_number": "757-875-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COMMONWEALTH AVENUE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-345-3000",
            "fax_number": "757-345-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' HOSPITAL OF WILLIAMSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2021-05-04",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SR VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "757-875-7545",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275893307",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverside Doctors Hospital Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Doctors Hospital Williamsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.