Active NPI
Morgan McCrocklin Cheatham, MD
- Pediatrics Physician
- Richmond, VA
National Provider Identifier
1346532264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101256966
- Practice address
- 417 N 11TH St
Im Resident Acc Clinic
Richmond, VA 23298-5002 - Phone
- (804) 828-8786
- Fax
- (804) 828-5466
- NPI assigned
- May 11, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101256966 | VA | Primary |
Addresses
Primary practice location
417 N 11TH St
Im Resident Acc Clinic
Richmond, VA 23298-5002
Mailing address
10150 Staples Mill Rd C
Glen Allen, VA 23060-3452
Phone (804) 755-7581
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
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Current | Accepting new patients |
Locations
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1346532264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 STAPLES MILL RD C",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603452",
"telephone_number": "804-755-7581",
"fax_number": "804-755-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N 11TH ST",
"address_2": "IM RESIDENT ACC CLINIC",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985002",
"telephone_number": "804-828-8786",
"fax_number": "804-828-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "MORGAN",
"middle_name": "MCCROCKLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101256966",
"primary": true
}
],
"identifiers": [],
"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 7, 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.
- 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.