NPIMap

Organization Active NPI

Riverside Hospital Inc

Doing business as Riverside Internal Medicine Warwick

  • Internal Medicine Physician
  • Newport News, VA
National Provider Identifier
1508019837
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIVERSIDE HOSPITAL INC
Doing business as
Riverside Internal Medicine Warwick
Practice address
11008 Warwick Blvd Ste 1300
Newport News, VA 23601-3216
Phone
(757) 594-3800
Fax
(757) 586-5247
NPI assigned
Oct 30, 2008
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERSIDE REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Billie Jo Brown
Title
Credentialing Manager
Phone
(757) 316-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11008 Warwick Blvd Ste 1300
Newport News, VA 23601-3216

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

10510 Jefferson Ave Ste G
Newport News, VA 23601-3102
Phone (757) 594-3800

Other names 1

  • Riverside Internal Medicine Warwick Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000888 VA Part B Supplier - Clinic/Group Practice 1557271293 Receives reassigned benefits from 84 practitioners
5 other NPIs on this enrollment
Practice locations: Hampton, VA; Newport News, VA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2306950Riverside Internal Medicine -Warwick11008 Warwick Blvd, Suite 1300, Newport News, VA 23601Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey Dodd MD18 organizations share this tax ID, including this one
Part of
Gloucester Family Pract

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 92

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.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1508019837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11008 WARWICK BLVD STE 1300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236013216",
            "telephone_number": "757-594-3800",
            "fax_number": "757-586-5247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10510 Jefferson Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236013102",
            "country_code": "US",
            "telephone_number": "757-594-3800",
            "fax_number": "757-591-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERSIDE HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE REGIONAL MEDICAL CENTER",
        "enumeration_date": "2008-10-30",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-316-5901"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Internal Medicine Warwick",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Internal Medicine Warwick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.