Individual provider Active NPI

Stephen P Long, MD

  • Specialist
  • Richmond, VA
National Provider Identifier
1285613257
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101043055 Issued in VA
Practice address
1501 Maple Ave
Suite 301
Richmond, VA 23226-2553
Phone
(804) 288-7246
Fax
(804) 288-7245
NPI assigned
Jan 10, 2006
Last updated
Oct 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101043055 VA Primary

Addresses

Primary practice location

1501 Maple Ave
Suite 301
Richmond, VA 23226-2553

Mailing address

1501 Maple Ave
Suite 301
Richmond, VA 23226-2553
Phone (804) 288-7246

Other identifiers 2

IdentifierTypeStateIssuer
050074939OtherVARAILROAD MEDICARE
431693OtherVAANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103001006 VA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 6800858531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Pain Specialists, LLCGroup PAC ID 0941262679, 4 clinicians

Practice addresses (Care Compare)

1501 Maple Ave
Suite 301
Richmond, VA 23226-2553
Phone (804) 288-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Specialists, LLC Specialist CurrentSince Apr 18, 2000 Accepting new patients
Center for Pain Relief, Inc. Past Accepting new patients

Locations

1501 Maple Ave
Ste 301
Richmond, VA 23226
Phone (804) 288-7246

Interoperability endpoints

  • Direct secure messaging: stephenlong@cps.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1285613257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MAPLE AVE",
            "address_2": "SUITE 301",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262553",
            "telephone_number": "804-288-7246",
            "fax_number": "804-288-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAPLE AVE",
            "address_2": "SUITE 301",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262553",
            "telephone_number": "804-288-7246",
            "fax_number": "804-288-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101043055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050074939",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "431693",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.