Active NPI
Cheryne Kim
- Neurology Physician
- Richmond, VA
National Provider Identifier
1376238279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0116038241
- Practice address
- Vcuhs Department of Adult Neurology Residency
1001 E. Leigh Street
Richmond, VA 23219 - Phone
- (804) 828-9350
- Fax
- (804) 807-7949
- NPI assigned
- Apr 6, 2023
- Last updated
- Jun 18, 2024
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0116038241 | VA | Primary |
Addresses
Primary practice location
Vcuhs Department of Adult Neurology Residency
1001 E. Leigh Street
Richmond, VA 23219
Mailing address
Vcuhs Gme Administration
Box 980257
Richmond, VA 23298-0257
Phone (804) 828-9783
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926000972 | VA | Order and Referring Only - Internal Medicine | 5395199335 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116038241 | VA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1376238279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VCUHS GME ADMINISTRATION",
"address_2": "BOX 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VCUHS DEPARTMENT OF ADULT NEUROLOGY RESIDENCY",
"address_2": "1001 E. LEIGH STREET",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219",
"telephone_number": "804-828-9350",
"fax_number": "804-807-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHERYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2024-06-18",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0116038241",
"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 Jun 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.