NPIMap

Individual provider Active NPI

Joseph Daniel Pennington, MD

  • Radiation Oncology Physician
  • Richmond, VA
National Provider Identifier
1356608434
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101262013 Issued in VA
Practice address
9101 Stony Point Dr
Richmond, VA 23235
Phone
(804) 330-9105
Fax
(804) 287-6119
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X 0101262013 VA Primary

Addresses

Primary practice location

9101 Stony Point Dr
Richmond, VA 23235

Mailing address

9101 Stony Point Dr
Richmond, VA 23235
Phone (804) 330-9105

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL fhir.virginiaurology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000379 VA Practitioner - Radiation Oncology 1456620970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Urology CenterGroup PAC ID 2365339264, 89 clinicians

Practice addresses (Care Compare)

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 281-8350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as group
Quality
47.65
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101262013VAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urology Center CurrentSince Jun 30, 2017 Accepting new patients
Virginia Urology Center, P.C. CurrentSince Jun 30, 2017 Accepting new patients

Locations

431 S Main St
Emporia, VA 23847

14051 St Francis Blvd
Ste 1100
Midlothian, VA 23114
Phone (804) 594-4000

2025 Waterside Rd
Ste 105
Prince George, VA 23875

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

9101 Stony Point Dr
Richmond, VA 23235

6900 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-4137

6605 W Broad St
Ste G201
Richmond, VA 23230

1396 Tappahannock Blvd
Ste B
Tappahannock, VA 22560

Interoperability endpoints

  • Direct secure messaging: joseph.pennington.4@30293.direct.athenahealth.com
  • Direct secure messaging: jpennington1154602@direct.bsmhealth.org

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1356608434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-9105",
            "fax_number": "804-287-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-9105",
            "fax_number": "804-287-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101262013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "fhir.virginiaurology.com",
            "affiliation": "N",
            "address_1": "9101 Stony Point Dr",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.