Individual provider Active NPI

Grace Regina Soltys, M.D.

  • Pediatrics Physician
  • Richmond, VA
National Provider Identifier
1457318651
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101049202 Issued in VA
Practice address
3602 Monument Ave
Richmond, VA 23230-4905
Phone
(804) 358-4904
Fax
(804) 358-3107
NPI assigned
May 1, 2006
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101049202 VA Primary

Addresses

Primary practice location

3602 Monument Ave
Richmond, VA 23230-4905

Mailing address

1802 Stonecrest CT
Richmond, VA 23236-5524
Phone (804) 674-9207

Other identifiers 1

IdentifierTypeStateIssuer
006728952MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101049202VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Avenue Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gracesoltys@mappc.allscriptsdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1457318651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 STONECREST CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232365524",
            "telephone_number": "804-674-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MONUMENT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304905",
            "telephone_number": "804-358-4904",
            "fax_number": "804-358-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTYS",
        "first_name": "GRACE",
        "middle_name": "REGINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101049202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006728952",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.