Individual provider Active NPI

John Vincent Booth, M.D.

  • Anesthesiology Physician
  • Richmond, VA
National Provider Identifier
1528064292
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101233970 Issued in VA
Practice address
9101 Stony Point Dr
Richmond, VA 23235-1979
Phone
(804) 330-9105
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101233970 VA Primary

Addresses

Primary practice location

9101 Stony Point Dr
Richmond, VA 23235-1979

Mailing address

9101 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 330-9105

Other practice location 1

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4937

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL fhir.virginiaurology.com

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
I20040716000352 VA Practitioner - Anesthesiology 0345229084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Urology CenterGroup PAC ID 2365339264, 89 clinicians

Practice addresses (Care Compare)

9101 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 330-9105

Merit-based Incentive Payment System (MIPS)

Final score
77.01 of 100Reported as group
Quality
47.65
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101233970VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urology Center CurrentSince Mar 1, 2019 Accepting new patients
Virginia Urology Center, P.C. CurrentSince Mar 1, 2019 Accepting new patients

Locations

6 Doctors Dr
Emporia, VA 23847
Phone (434) 336-1900

8152 Pleasant Grove Rd
Mechanicsville, VA 23116
Phone (804) 730-5023

2025 Waterside Rd
Ste 105
Prince George, VA 23875

1700 Mills Rd
Ste B
Richmond, VA 23233

6900 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-4137

9101 Stony Point Dr
Richmond, VA 23235

1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953

1396 Tappahannock Blvd
#17
Tappahannock, VA 22560

Interoperability endpoints

  • Direct secure messaging: john.booth.1@30293.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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1528064292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-330-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-330-9105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Skipwith Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23229",
            "country_code": "US",
            "telephone_number": "804-289-4937",
            "fax_number": "804-565-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101233970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "fhir.virginiaurology.com",
            "affiliation": "N",
            "address_1": "9101 Stony Point Dr",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232351979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.