Individual provider Active NPI

Ruth L Hillelson, MD

  • Plastic Surgery Physician
  • Henrico, VA
National Provider Identifier
1376583880
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101034668 Issued in VA
Practice address
9900 Independence Park Dr
Henrico, VA 23233-1473
Phone
(804) 290-0060
Fax
(804) 290-0206
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101034668 VA Primary

Addresses

Primary practice location

9900 Independence Park Dr
Henrico, VA 23233-1473

Mailing address

9930 Independence Park Dr
Ste 101
Henrico, VA 23233-1475
Phone (804) 290-0060

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
I20110125001020 VA Practitioner - Plastic and Reconstructive Surgery 6406035252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Vermont College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillelson-Whipple Clinic Dba American SelfGroup PAC ID 7113017716, 2 clinicians

Practice addresses (Care Compare)

9930 Independence Park Dr
Suite 101
Henrico, VA 23233-1475
Phone (804) 290-0060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillelson-Whipple Clinic Dba American Self Plastic Surgery CurrentSince Mar 1, 2000 Accepting new patients

Locations

9930 Independence Park Dr
Ste 101
Richmond, VA 23233
Phone (804) 290-0060

3407 Old Parham Rd
Richmond, VA 23294
Phone (804) 282-8568

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1376583880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR",
            "address_2": "STE 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331475",
            "telephone_number": "804-290-0060",
            "fax_number": "804-290-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 INDEPENDENCE PARK DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331473",
            "telephone_number": "804-290-0060",
            "fax_number": "804-290-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLELSON",
        "first_name": "RUTH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101034668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.