Active NPI
Michael Terribile, DO
- Pediatrics Physician
- Richmond, VA
National Provider Identifier
1386267193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102207718
- Practice address
- 5801 Bremo Rd
Richmond, VA 23226-1907 - Phone
- (804) 986-5219
- NPI assigned
- May 27, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0102207718 | VA | Primary |
Addresses
Primary practice location
5801 Bremo Rd
Richmond, VA 23226-1907
Mailing address
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 986-5219
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 |
|---|---|---|---|---|
| I20210527000370 | VA | Order and Referring Only - Pediatric Medicine | 1456750215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207718 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1386267193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 BREMO RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261907",
"telephone_number": "804-986-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 BREMO RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261907",
"telephone_number": "804-986-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRIBILE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2023-07-31",
"certification_date": "2023-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102207718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
- Teresa a Green DC PC
- Margaret Hitchcock Terhune, M.D.
- Terra Dominguez Therapies PLLC
- Mae Ellen Terrebonne, M.D.
- Barbara Virginia Terrell, MS, RNC, NNP
- Charles Vaden Terry, M.D.
- Dawn Michelle Terry, LCSW
- James Kaleolani Pulido Terry, LCSW
- Jasmine E Terry, MSW
- Patricia Elaine Terry, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.