Individual provider Active NPI

Rozana Itskovich, M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1386829232
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058429 Issued in VA
Practice address
7660 E Parham Rd
Suite 204
Richmond, VA 23294-4378
Phone
(804) 364-8802
Fax
(804) 364-1288
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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 0101058429 VA Primary

Addresses

Primary practice location

7660 E Parham Rd
Suite 204
Richmond, VA 23294-4378

Mailing address

PO Box 28645
Richmond, VA 23228-8645
Phone (804) 364-8802

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
I20100902000998 VA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Gastroenterology 1658495213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7660 E Parham Rd
Suite 202
Henrico, VA 23294-4378
Phone (804) 364-8802

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwest PC Internal Medicine CurrentSince Apr 2, 2010 Accepting new patients

Locations

7660 E Parham Rd
Ste 202
Henrico, VA 23294
Phone (804) 364-8802

7660 E Parham Rd
Ste 202204
Richmond, VA 23294

7660 E Parham Rd
Ste 204
Richmond, VA 23294
Phone (804) 364-8802

7660 E Parham Rd
Richmond, VA 23294
Phone (804) 239-1640

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1386829232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28645",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232288645",
            "telephone_number": "804-364-8802",
            "fax_number": "804-364-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 E PARHAM RD",
            "address_2": "SUITE 204",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944378",
            "telephone_number": "804-364-8802",
            "fax_number": "804-364-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITSKOVICH",
        "first_name": "ROZANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.