Individual provider Active NPI

Mark Xenakis, MD

  • Interventional Cardiology Physician
  • Midlothian, VA
National Provider Identifier
1477586972
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101234821 Issued in VA
Practice address
13572 Waterford PL
Midlothian, VA 23112-3928
Phone
(804) 560-8782
Fax
(804) 288-6591
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101234821 VA
Cardiovascular Disease Physician 207RC0000X 0101234821 VA
Interventional Cardiology Physician 207RI0011X 0101234821 VA Primary

Addresses

Primary practice location

13572 Waterford PL
Midlothian, VA 23112-3928

Mailing address

13572 Waterford PL
Midlothian, VA 23112-3928
Phone (804) 560-8782

Other practice location 1

2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Phone (540) 689-7400

Other practice location 2

445 Charles H Dimmock Pkwy Ste 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

Other identifiers 5

IdentifierTypeStateIssuer
8689624OtherVACIGNA
2108911OtherVAUNITED HEALTHCARE
010028302MedicaidVA
3236966OtherVAAETNA
P00084989OtherVARAILROAD MEDICARE

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
I20040511001183 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Radiology 7315936622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians
Bon Secours St Marys Hospital of Richmond LLCGroup PAC ID 8527969476, 66 clinicians
Chippenham and Johnston-Willis Hospitals, Inc.Group PAC ID 9032105010, 23 clinicians

Practice addresses (Care Compare)

445 Charles H Dimmock Pkwy
Suite 100
Colonial Heights, VA 23834-2990
Phone (804) 520-1764

7001 Forest Ave
Richmond, VA 23230-1726

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 323-8813

Hospital & facility affiliations

  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James River Cardiology, LLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Current Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Cardiovascular Associates of Virginia, P.C. Specialist Past Accepting new patients

Locations

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834

10150 Staples Mill Rd
Ste E
Glen Allen, VA 23060
Phone (804) 755-7581

13700 St Francis Blvd
Ste 600
Midlothian, VA 23114
Phone (804) 794-6400

7001 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-3123

681 Hioaks Rd
Ste H
Richmond, VA 23225
Phone (804) 323-1804

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

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

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: mark.xenakis.1@31267.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1477586972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13572 WATERFORD PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123928",
            "telephone_number": "804-560-8782",
            "fax_number": "804-288-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13572 WATERFORD PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123928",
            "telephone_number": "804-560-8782",
            "fax_number": "804-288-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Health Campus Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Charles H Dimmock Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342990",
            "country_code": "US",
            "telephone_number": "804-520-1764",
            "fax_number": "804-616-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XENAKIS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101234821",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101234821",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101234821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8689624",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2108911",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010028302",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3236966",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00084989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.