Active NPI
Miheret Seyoum Yitayew, M.D, MPH
- Neonatal-Perinatal Medicine Physician
- Richmond, VA
National Provider Identifier
1396184008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 0101264165
- Practice address
- 1000 East Broad Street
Richmond, VA 23219 - Phone
- (804) 828-2467
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125063638 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 0101264165 | VA | Primary |
Addresses
Primary practice location
1000 East Broad Street
Richmond, VA 23219
Mailing address
P.O. Box 980276
Richmond, VA 23298-0276
Phone (804) 828-9964
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264165 | VA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Pediatrics | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
1000 E Broad St
Richmond, VA 23219
Interoperability endpoints
- miheretyitayew@mai.allscriptsdirect.net
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1396184008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 980276",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980276",
"telephone_number": "804-828-9964",
"fax_number": "804-828-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EAST BROAD STREET",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219",
"telephone_number": "804-828-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YITAYEW",
"first_name": "MIHERET",
"middle_name": "SEYOUM",
"name_prefix": "Dr.",
"credential": "M.D, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125063638",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "VA",
"license": "0101264165",
"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 Aug 3, 2021; 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.