Individual provider Active NPI

Habtamu Daba Giduma, M.D.

  • Hospitalist Physician
  • Richmond, VA
National Provider Identifier
1316235906
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101260070 Issued in VA
Practice address
1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone
(804) 675-5000
NPI assigned
Jul 16, 2011
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201401636 NC
Internal Medicine Physician 207R00000X 0101260070 VA
Hospitalist Physician 208M00000X 0101260070 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Mailing address

1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone (804) 675-5000

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
I20170922001455 VA Practitioner - Internal Medicine 8123240058 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Clark Alliance Services IncGroup PAC ID 8325475981, 27 clinicians

Practice addresses (Care Compare)

2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone (757) 276-5022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201401636NCMDInternal Medicine Physician
0101260070VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Vituity-Virginia Hospitalists PC Hospitalist CurrentSince Jul 13, 2023 Accepting new patients
Vibra Physicians LLC Hospitalist CurrentSince Oct 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Jul 15, 2017 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Clark Alliance Services Inc Internal Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

5 E River Park Pl E
Ste 460
Fresno, CA 93720

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

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, 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": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1316235906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDUMA",
        "first_name": "HABTAMU",
        "middle_name": "DABA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-16",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201401636",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101260070",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101260070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.