Individual provider Active NPI

Leroy B. Vaughan Jr., M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1366646697
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101253228 Issued in VA
Practice address
7110 Forest Ave Ste 203
Richmond, VA 23226-3762
Phone
(804) 442-3558
NPI assigned
Jun 12, 2007
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101253228 VA Primary

Addresses

Primary practice location

7110 Forest Ave Ste 203
Richmond, VA 23226-3762

Mailing address

7110 Forest Ave Ste 201
Richmond, VA 23226-3787
Phone (804) 442-3558

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
I20130719000498 VA Practitioner - Internal Medicine 1759522535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Solutions LLCGroup PAC ID 8022438290, 2 clinicians

Practice addresses (Care Compare)

7110 Forest Ave
Suite 203
Richmond, VA 23226-3762
Phone (804) 895-7374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253228VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valiant Concierge Medicine Internal Medicine CurrentSince May 7, 2025 Accepting new patients
Vibra Physicians LLC CurrentSince Mar 17, 2015 Accepting new patients
Infusion Solutions LLC Internal Medicine CurrentSince Nov 7, 2020 Accepting new patients

Locations

5 E River Park Pl E
Ste 460
Fresno, CA 93720

8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

7110 Forest Ave
Ste 201
Richmond, VA 23226
Phone (804) 288-0399

7110 Forest Ave
Ste 203
Richmond, VA 23226
Phone (804) 288-0399

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1366646697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 FOREST AVE STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263787",
            "telephone_number": "804-442-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 FOREST AVE STE 203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263762",
            "telephone_number": "804-442-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "LEROY",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101253228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.