Active NPI
Richard J Ameen, M.D.
- Internal Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1336140508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101038449
- Practice address
- 12006 Kilarney Dr
Fredericksburg, VA 22407-7207 - Phone
- (540) 786-9771
- Fax
- (540) 548-8803
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101038449 | VA | Primary |
Addresses
Primary practice location
12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Mailing address
12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone (540) 786-9771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005887054 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100726000308 | VA | Practitioner - Internal Medicine | 5193751030 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101038449 | VA | MD | Internal Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAJIBD/Endpoint/JAJIBD
- richardameen@cimva.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1336140508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12006 KILARNEY DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224077207",
"telephone_number": "540-786-9771",
"fax_number": "540-548-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12006 KILARNEY DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224077207",
"telephone_number": "540-786-9771",
"fax_number": "540-548-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEEN",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101038449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005887054",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Biruk Amare
- Ana Jessica Amaya
- Melissa Amaya, MT
- Amazing Grace Inhome Support Services LLC
- Amedisys Home Health of Virginia LLC
- America'S Best Contacts & Eyeglasses
- American Anesthesiology Associates of VA
- American Anesthesiology Associates of Virginia, Inc
- American Anesthesiology of Virginia PC
- American Home Healthcare Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.