NPIMap

Individual provider Active NPI

Elizabeth Jody Crognale, M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1396794905
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101057901 Issued in VA
Practice address
7702 E Parham Rd
Suite 101
Richmond, VA 23294-4371
Phone
(804) 288-7901
Fax
(804) 273-9167
NPI assigned
May 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101057901 VA Primary

Addresses

Primary practice location

7702 E Parham Rd
Suite 101
Richmond, VA 23294-4371

Mailing address

7702 E Parham Rd
Suite 101
Richmond, VA 23294-4371
Phone (804) 288-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000149 VA Practitioner - Internal Medicine 8921139247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Healthcare Associates, Inc.Group PAC ID 9032173992, 6 clinicians

Practice addresses (Care Compare)

7702 E Parham Rd
Suite 101
Richmond, VA 23294-4375
Phone (804) 288-7901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101057901VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Associates, Inc. CurrentSince Jul 1, 2001 Accepting new patients

Locations

7702 E Parham Rd
Ste 101
Richmond, VA 23294
Phone (804) 288-7901

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396794905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 E PARHAM RD",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944371",
            "telephone_number": "804-288-7901",
            "fax_number": "804-273-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E PARHAM RD",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944371",
            "telephone_number": "804-288-7901",
            "fax_number": "804-273-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROGNALE",
        "first_name": "ELIZABETH",
        "middle_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.