Eileen C Kitces, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101028959 Issued in VA

Practice address

9816 Mayland Dr
100
Richmond, VA 23233-1457

Phone

(804) 282-8510

Fax

(804) 285-5750

NPI assigned

Jun 1, 2005

Last updated

Feb 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richmond Dermatology Specialists

  • Specialist
  • Richmond, VA
  • NPI 1508898420
  Medicare reassignment NPD
• Mohs Surgery Center of Richmond Dermatology, PLLC

  dba Mohs Center of Richmond Dermatology

  • MOHS-Micrographic Surgery Physician
  • Richmond, VA
  • NPI 1033021662
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1598767808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MAYLAND DR",
            "address_2": "100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331457",
            "telephone_number": "804-282-8510",
            "fax_number": "804-285-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 MAYLAND DR",
            "address_2": "100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331457",
            "telephone_number": "804-282-8510",
            "fax_number": "804-285-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCES",
        "first_name": "EILEEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101028959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "258638",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "54-1256850",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905991",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "134566",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "49D0227531",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "54-1256850",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "212036",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1598767808",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela E Kiser, M.D.
• William Jeffrey Kiser, PHARM. D
• Rekha Kishore, M.D.
• Hannah Jo Kissel-Smith, MD
• Edward N Kitces, M.D., PH.D.
• Kelsey Kitchen, BCABA
• Zachary Eric Kitchen, PA
• Ashton Kite, RDN
• Richard Keith Kittinger, RPH
• John Scott Kittrell

• Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.