Organization Active NPI

Robert W. Deconti, M.D., Inc.

  • Specialist
  • Richmond, VA
National Provider Identifier
1326248584
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101051435 Issued in VA
Legal business name
ROBERT W. DECONTI, M.D., INC.
Practice address
7229 Forest Ave
Suite 101
Richmond, VA 23226-3765
Phone
(804) 673-8000
Fax
(804) 673-4067
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Robert William Deconti, M.D.NPI 1710921788
Title
President & Ceo
Phone
(804) 673-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101051435 VA Primary

Addresses

Primary practice location

7229 Forest Ave
Suite 101
Richmond, VA 23226-3765

Mailing address

7229 Forest Ave
Suite 101
Richmond, VA 23226-3765
Phone (804) 673-8000

Other identifiers 1

IdentifierTypeStateIssuer
6900275MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100924000091 VA Part B Supplier - Clinic/Group Practice 2062538309 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

7229 Forest Ave
Ste 101
Richmond, VA 23226
Phone (804) 673-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1326248584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-673-8000",
            "fax_number": "804-673-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-673-8000",
            "fax_number": "804-673-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. DECONTI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "DECONTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "804-673-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101051435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6900275",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.