NPIMap

Organization Active NPI

Robert P Castellucci MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Richmond, VA
National Provider Identifier
1467647347
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ROBERT P CASTELLUCCI MD
Practice address
5875 Bremo Road
Suite 501
Richmond, VA 23226
Phone
(804) 282-9899
Fax
(804) 282-2619
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Robert P Castellucci, MDNPI 1952336026
Title
Owner
Phone
(804) 282-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

5875 Bremo Road
Suite 501
Richmond, VA 23226

Mailing address

545 Southlake Blvd
Richmond, VA 23236
Phone (804) 378-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101018000356 VA Part B Supplier - Clinic/Group Practice 1850584301 Receives reassigned benefits from 3 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

545 Southlake Blvd
North Chesterfield, VA 23236
Phone (804) 378-8254

5875 Bremo Rd
Ste 501
Richmond, VA 23226
Phone (804) 282-9899

8921 Three Chopt Rd
Ste 102
Richmond, VA 23229
Phone (804) 282-9899

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1467647347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SOUTHLAKE BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23236",
            "telephone_number": "804-378-5010",
            "fax_number": "804-378-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO ROAD",
            "address_2": "SUITE 501",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-282-9899",
            "fax_number": "804-282-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P CASTELLUCCI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "CASTELLUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-282-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.