Individual provider Active NPI

Erica Bettina Ciminelli, M.D.

  • Pediatrics Physician
  • Williamsburg, VA
National Provider Identifier
1457779761
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101276342 Issued in VA
Practice address
4374 New Town Ave Ste 202
Williamsburg, VA 23188-2865
Phone
(757) 984-6040
Fax
(757) 510-9063
NPI assigned
Apr 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 300010 NY
Pediatrics Physician 208000000X 0101276342 VA Primary
Pediatrics Physician 208000000X D83453 MD

Addresses

Primary practice location

4374 New Town Ave Ste 202
Williamsburg, VA 23188-2865

Mailing address

4374 New Town Ave Ste 202
Williamsburg, VA 23188-2865
Phone (757) 984-6040

Other practice location 1

397 Louisiana St
Buffalo, NY 14204-2275
Phone (716) 847-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170720000950 MD Practitioner - Pediatric Medicine 7315245594 Reassigns benefits to 1 organization
I20221220001330 VA Practitioner - Pediatric Medicine 7315245594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D83453MDMDPediatrics Physician
0101276342VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Pediatrics CurrentSince Dec 19, 2022 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2017 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

7300 York Rd
Ste 200
Towson, MD 21204
Phone (410) 427-5140

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

4374 New Town Ave
Ste 200
Williamsburg, VA 23188
Phone (757) 220-2795

4374 New Town Ave
Ste 202
Williamsburg, VA 23188
Phone (757) 253-5757

Interoperability endpoints

  • Direct secure messaging: eciminelli789853@direct.sentara.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1457779761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-984-6040",
            "fax_number": "757-510-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-984-6040",
            "fax_number": "757-510-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Louisiana St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142042275",
            "country_code": "US",
            "telephone_number": "716-847-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIMINELLI",
        "first_name": "ERICA",
        "middle_name": "BETTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "300010",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101276342",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D83453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.