Individual provider Active NPI

Richard B Abriss, M.D.

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1356397566
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101042057 Issued in VA
Practice address
984 First Colonial Rd
Suite 302
Virginia Beach, VA 23454-3196
Phone
(757) 481-0385
Fax
(757) 481-6946
NPI assigned
May 26, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101042057 VA Primary

Addresses

Primary practice location

984 First Colonial Rd
Suite 302
Virginia Beach, VA 23454-3196

Mailing address

984 First Colonial Rd
Suite 302
Virginia Beach, VA 23454-3196
Phone (757) 481-0385

Other identifiers 3

IdentifierTypeStateIssuer
6501800MedicaidVA
35114OtherVAOPTIMA HEALTH CARE
251589OtherVAANTHEM BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042057VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Center Past Accepting new patients
Coastal Ear Nose and Throat Surgeons Specialist PastSince Apr 15, 1998 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.abriss.1@12840.direct.athenahealth.com

Organizations & group practices 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1356397566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 FIRST COLONIAL RD",
            "address_2": "SUITE 302",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543196",
            "telephone_number": "757-481-0385",
            "fax_number": "757-481-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 FIRST COLONIAL RD",
            "address_2": "SUITE 302",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543196",
            "telephone_number": "757-481-0385",
            "fax_number": "757-481-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRISS",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101042057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6501800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH CARE",
            "identifier": "35114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "251589",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.