Individual provider Active NPI

Diane M Mrava, M.D.

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
National Provider Identifier
1346250925
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101055659 Issued in VA
Practice address
13700 St. Francis Blvd
Suite 305
Midlothian, VA 23114-3222
Phone
(804) 320-2483
Fax
(804) 419-1860
NPI assigned
Aug 8, 2006
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101055659 VA Primary

Addresses

Primary practice location

13700 St. Francis Blvd
Suite 305
Midlothian, VA 23114-3222

Mailing address

13700 St. Francis Blvd
Suite 305
Midlothian, VA 23114-3222
Phone (804) 320-2483

Other identifiers 2

IdentifierTypeStateIssuer
6216935MedicaidVA
C09633OtherGROUP PTAN

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
I20090612000487 VA Practitioner - Obstetrics/Gynecology 6507916509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Virginia LLCGroup PAC ID 9436323342, 46 clinicians

Practice addresses (Care Compare)

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (864) 603-5203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101055659VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Sep 23, 2017 Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC CurrentSince Sep 23, 2017 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Locations

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

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

13700 St Francis Blvd
Midlothian, VA 23114
Phone (804) 320-2483

13700 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1346250925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST. FRANCIS BLVD",
            "address_2": "SUITE 305",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-320-2483",
            "fax_number": "804-419-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST. FRANCIS BLVD",
            "address_2": "SUITE 305",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-320-2483",
            "fax_number": "804-419-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRAVA",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101055659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6216935",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.