Individual provider Active NPI

Kimberly Ann Smith Griffin, M.D.

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1396708665
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058374 Issued in VA
Practice address
1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone
(757) 252-3050
Fax
(757) 222-3106
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101058374 VA
Internal Medicine Physician 207R00000X 0101058374 VA Primary

Addresses

Primary practice location

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884

Mailing address

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Other identifiers 3

IdentifierTypeStateIssuer
080169571OtherVARAILROAD MEDICARE
5853826MedicaidVA
89064J5MedicaidNC

Other names 1

  • Kimberly Ann Smith Other name

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
I20090401000144 VA Practitioner - Internal MedicinePractitioner - Family Practice 9537254974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Virginia Beach, VA 23464

1330 Sentara Park
Suite 4
Virginia Beach, VA 23464-5884
Phone (757) 841-0012

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Home Care Services-Virginia Beach Home health agency, Chesapeake, VA, CCN 497747
  • Sentara Homecare Services Home health agency, Chesapeake, VA, CCN 497268
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101058374VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Nov 20, 2009 Accepting new patients

Locations

20209 Sentara Way
Carrollton, VA 23314
Phone (757) 357-5307

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

1300 Sentara Park
#3
Virginia Beach, VA 23464
Phone (757) 252-3050

Interoperability endpoints

  • Direct secure messaging: ksmithgriffin334@direct.sentara.net

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 8

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1396708665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK # 3",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK # 3",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH GRIFFIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101058374",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080169571",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5853826",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89064J5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SMITH",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.