Active NPI
Kimberly Ann Smith Griffin, M.D.
- Internal Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101058374
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080169571 | Other | VA | RAILROAD MEDICARE |
| 5853826 | Medicaid | VA | |
| 89064J5 | Medicaid | NC |
Other names 1
- Kimberly Ann Smith
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
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
- Sentara Homecare Services
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
- Sentara Virginia Beach General Hospital
- Sentara Williamsburg Regional Medical Center
- Sentara Princess Anne Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101058374 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chesapeake, VA
- NPI 1710425152
-
- Home Health Agency
- Chesapeake, VA
- NPI 1992741060
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.