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Individual provider Active NPI

Michael J Depalma, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Richmond, VA
National Provider Identifier
1295772457
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0101236671 Issued in VA
Practice address
12874 Patterson Avenue
Suite a
Richmond, VA 23238
Phone
(804) 330-0303
Fax
(804) 327-1677
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101236671 VA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101236671 VA Primary

Addresses

Primary practice location

12874 Patterson Avenue
Suite a
Richmond, VA 23238

Mailing address

12874 Patterson Avenue
Richmond, VA 23238
Phone (804) 330-0303

Other identifiers 1

IdentifierTypeStateIssuer
010142954MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101001087 VA Practitioner - Physical Medicine and Rehabilitation 8123080157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of South Carolina School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia I-Spine Physicians PCGroup PAC ID 9234315797, 3 clinicians

Practice addresses (Care Compare)

12874 Patterson Ave
Suite a
Richmond, VA 23238-7101
Phone (804) 330-0303

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

State licenses

LicenseStateTypeSpecialty
0101236671VAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia I-Spine Physicians, P.C Physical Medicine & Rehabilitation CurrentSince May 1, 2011 Accepting new patients
Stony Point Surgery Center PastSince Jan 1, 2010 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients
Sheltering Arms Hospital PastSince Jan 1, 1990 Accepting new patients
Sheltering Arms Hospital PastSince Jan 1, 1990 Accepting new patients
Sheltering Arms Hospital PastSince Jan 1, 1990 Accepting new patients
Anesthesia Solutions PLLC PastSince May 1, 2019 Accepting new patients

Locations

8405 N Run Medical Dr
Mechanicsville, VA 23116
Phone (804) 330-0303

9020 Stony Point Pkwy
Ste 140
Richmond, VA 23235
Phone (804) 330-0303

Interoperability endpoints

  • Direct secure messaging: virginiaispinephysicianspc.michaeljdepalma@120209.advancedmd-direct.com

Organizations & group practices 7

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1295772457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12874 PATTERSON AVENUE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-330-0303",
            "fax_number": "804-327-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12874 PATTERSON AVENUE",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-330-0303",
            "fax_number": "804-327-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-01-25",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101236671",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101236671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010142954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.