Active NPI
Diane M Mrava, M.D.
- Obstetrics & Gynecology Physician
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101055659
- 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, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6216935 | Medicaid | VA | |
| C09633 | Other | GROUP 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101055659 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Marys Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St Mary's Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours St. Mary's Hospital of Richmond LLC | Current | Accepting new patients | |
| Obhg Virginia, LLC | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1972807394
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
Obstetrics & Gynecology
-
dba Bon Secours St Mary's Hospital
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
dba Bon Secours Orthopedic Specialists
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
dba Commonwealth Internal Medicine Associates
- Internal Medicine Physician
- Richmond, VA
- NPI 1265719504
-
dba Bon Secours Critical Care Transport
- Land Ambulance
- Richmond, VA
- NPI 1124772470
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
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
- Rachel Mosunmade, LCSW
- Nima Mottaghi, MD
- Mountain Spring Vascular LLC (Mountain Spring Podiatry)
- Move in Faith Counseling Services, PLLC (Move In Faith Counseling)
- Moxie Counseling Services
- Bernice Natalie Mucius-Penha, M.D.
- Akta Patel Mukherjee, M.D.
- Mulkey Behavioral Health
- Amy Debra Mulkey, PHD
- John Stewart Mullins, LDO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.