Individual provider Active NPI

Alison Laurel Raybould, M.D.

  • Hematology & Oncology Physician
  • Richmond, VA
National Provider Identifier
1487034955
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101274637 Issued in VA
Practice address
5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Phone
(804) 287-7804
Fax
(804) 287-7178
NPI assigned
May 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209657 NC
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 0101274637 VA Primary

Addresses

Primary practice location

5875 Bremo Rd Ste 209
Richmond, VA 23226-1934

Mailing address

5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Phone (804) 287-7804

Other practice location 1

101 Manning Dr
UNC - Department of Internal Medicine
Chapel Hill, NC 27514-4220
Phone (913) 660-8450

Other identifiers 1

IdentifierTypeStateIssuer
0101274637OtherVASTATE MEDICAL LICENSE

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
I20220912003035 VA Practitioner - Hematology/Oncology 8123338985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Georgetown University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bon Secours-Richmond Community Hospital LLCGroup PAC ID 3274425459, 40 clinicians

Practice addresses (Care Compare)

5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934
Phone (804) 287-7804

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

Hospital & facility affiliations

  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209657NCMDInternal Medicine Physician
0101274637VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC Multi-Specialty CurrentSince Sep 5, 2022 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Multi-Specialty CurrentSince Sep 5, 2022 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Multi-Specialty Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Multi-Specialty CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

5875 Bremo Rd
Ste 209
Richmond, VA 23226
Phone (804) 285-1722

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

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

5875 Bremo Rd
Ste G7
Richmond, VA 23226
Phone (804) 288-8900

Interoperability endpoints

  • Direct secure messaging: araybould1342539@direct.bsmhealth.org

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1487034955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD STE 209",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-287-7804",
            "fax_number": "804-287-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD STE 209",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-287-7804",
            "fax_number": "804-287-7178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "UNC - Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "913-660-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBOULD",
        "first_name": "ALISON",
        "middle_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "209657",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101274637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "0101274637",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.