Individual provider Active NPI

Reonna NE'Cole Smith, MD

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1497338693
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101282879 Issued in VA
Practice address
1630 Wilkes Ridge Pkwy Ste 300
Richmond, VA 23233-7460
Phone
(804) 288-0057
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101282879 VA Primary

Addresses

Primary practice location

1630 Wilkes Ridge Pkwy Ste 300
Richmond, VA 23233-7460

Mailing address

1630 Wilkes Ridge Pkwy Ste 300
Richmond, VA 23233-7460
Phone (804) 288-0057

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
I20240923002817 VA Practitioner - Internal Medicine 4981006111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Primary CareGroup PAC ID 2264420918, 65 clinicians

Practice addresses (Care Compare)

8923 Three Chopt Rd
Suite 101
Richmond, VA 23229-4660
Phone (804) 288-0057

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101282879VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Primary Care CurrentSince Aug 26, 2024 Accepting new patients
Commonwealth Primary Care PastSince Jun 30, 2024 Accepting new patients

Locations

7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141

8923 Three Chopt Rd
Ste 101
Richmond, VA 23229
Phone (804) 288-0057

1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399

Interoperability endpoints

  • Direct secure messaging: reonna.smith@cpcva.eclinicaldirectplus.com
  • Direct secure messaging: reonna.smith.1@18883.direct.athenahealth.com

Organizations & group practices 2

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 8

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1497338693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 WILKES RIDGE PKWY STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337460",
            "telephone_number": "804-288-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WILKES RIDGE PKWY STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337460",
            "telephone_number": "804-288-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REONNA",
        "middle_name": "NE'COLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101282879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.