Individual provider Active NPI

Sarah Rose Peterson, M.D.

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
National Provider Identifier
1437410974
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101259917 Issued in VA
Practice address
13700 St Francis Blvd
Suite # 305
Midlothian, VA 23114-3222
Phone
(804) 320-2483
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101259917 VA Primary

Addresses

Primary practice location

13700 St Francis Blvd
Suite # 305
Midlothian, VA 23114-3222

Mailing address

13700 St Francis Blvd
Suite # 305
Midlothian, VA 23114-3222
Phone (804) 320-2483

Other identifiers 1

IdentifierTypeStateIssuer
C09633OtherVAGROUP PTAN

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
I20161202002121 VA Practitioner - Obstetrics/Gynecology 6901045079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 Maple Ave
Richmond, VA 23226-2553

1510 N 28TH St
Richmond, VA 23223-5311

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Obstetrics & Gynecology CurrentSince Sep 23, 2017 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Sep 23, 2017 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours St. Francis Medical Center LLC Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8220 Meadowbridge Rd
Ste 306
Mechanicsvlle, VA 23116
Phone (804) 764-1253

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

13700 St Francis Blvd
Ste 305
Midlothian, VA 23114
Phone (804) 320-2483

7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

Interoperability endpoints

  • Direct secure messaging: speterson1154649@direct.bsmhealth.org

Organizations & group practices 8

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1437410974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE # 305",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-320-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE # 305",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-320-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101259917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.