Individual provider Active NPI

Emily Rachel Himes, M.D.

  • Dermatology Physician
  • Williamsburg, VA
National Provider Identifier
1417272006
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101257486 Issued in VA
Practice address
475 McLaws Cir Ste 1
Williamsburg, VA 23185
Phone
(757) 259-9466
Fax
(757) 259-7907
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 0101257486 VA Primary

Addresses

Primary practice location

475 McLaws Cir Ste 1
Williamsburg, VA 23185

Mailing address

11844 Rock Landing Dr Ste B
Newport News, VA 23606-4206
Phone (757) 873-0161

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
I20150827002681 VA Practitioner - Dermatology 6800102443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Dermatology Skin Cancer Surgery Center, IncGroup PAC ID 4486749223, 10 clinicians

Practice addresses (Care Compare)

11844 Rock Landing Dr
Suite B
Newport News, VA 23606-4202
Phone (757) 873-0161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions3060
Skin biopsy944

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology Skin Cancer Surgery Center, Inc Dermatology CurrentSince Aug 1, 2015 Accepting new patients
Peninsula Dermatology Skin Cancer Surgery Center, Inc Dermatology PastSince May 12, 2024 Accepting new patients

Locations

11844 Rock Landing Dr
Ste B
Newport News, VA 23606
Phone (757) 873-0161

475 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 259-9466

1601 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 259-9466

Interoperability endpoints

  • Direct secure messaging: ehimes@peninsuladerm.emadirect.md

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.

Hospital & facility affiliations 1

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1417272006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 ROCK LANDING DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064206",
            "telephone_number": "757-873-0161",
            "fax_number": "757-873-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MCLAWS CIR STE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-259-9466",
            "fax_number": "757-259-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMES",
        "first_name": "EMILY",
        "middle_name": "RACHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101257486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.