Bon Secours Medical Group Hampton Roads Specialty Care LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC

Practice address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Phone

(804) 627-5573

Fax

(866) 449-0896

NPI assigned

Jun 6, 2019

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassie Lowe

Title

System Director, Payer Delegation &

Phone

(513) 952-5210

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 430

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.

• Amutallah Abdussalaam, AGNP-C

  • Adult Health Nurse Practitioner
  • Portsmouth, VA
  • NPI 1396553780
  Medicare reassignment Care Compare group NPD
• David Daniel Alcantara, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Portsmouth, VA
  • NPI 1508022351
  Medicare reassignment Care Compare group NPD
• Chaitanya Ananthaviswa Allikayala, M. D.

  • Hospitalist Physician
  • Portsmouth, VA
  • NPI 1932528932

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jonathan Robert Amy, MD

  • Neurology Physician
  • Manassas, VA
  • NPI 1245237718
  Medicare reassignment Care Compare group NPD
• Rachel Anglin, PA-C

  • Medical Physician Assistant
  • Chesapeake, VA
  • NPI 1215420930
  Medicare reassignment Care Compare group NPD
• Louisa Apongse Ayafor Ndamukong, MD

  • Psychiatry Physician
  • Portsmouth, VA
  • NPI 1013165695
  Medicare reassignment Care Compare group NPD
• Olumide Ayeni, MD

  • Family Medicine Physician
  • Portsmouth, VA
  • NPI 1881335479
  Medicare reassignment Care Compare group NPD
• Mary S Baker, MD

  • Pulmonary Disease Physician
  • Richmond, VA
  • NPI 1932360450
  Medicare reassignment Care Compare group NPD
• Satish Kumar Bankuru, MD

  • Nephrology Physician
  • Colonial Heights, VA
  • NPI 1750331732
  Medicare reassignment Care Compare group NPD
• Monica Rene' Beckett, AGACNP

  • Acute Care Nurse Practitioner
  • Suffolk, VA
  • NPI 1811322993
  Medicare reassignment Care Compare group NPD
• Alexander Oliver Berg, MD

  • Hospitalist Physician
  • Portsmouth, VA
  • NPI 1730685637
  Medicare reassignment Care Compare group NPD
• Melanie Bjorkman, FNP-C

  • Family Nurse Practitioner
  • Suffolk, VA
  • NPI 1013517879
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1629637475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PL STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-627-5573",
            "fax_number": "866-449-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR, PAYER DELEGATION &",
        "authorized_official_telephone_number": "513-952-5210"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Secours - Richmond Community Hospital, Incorporated (Bon Secours East End Pediatrics)
• Bon Secours - Richmond Community Hospital, Incorporated (Bon Secours Pediatric Hematology-Oncology)
• Bon Secours Ambulatory Services LLC (Bon Secours Tuckahoe Orthopaedics)
• Bon Secours Critical Care Transport LLC
• Bon Secours Medical Group Hampton Roads Primary Care LLC
• Bon Secours Medical Group Richmond Primary Care LLC
• Bon Secours Medical Group Richmond Specialty Care LLC (Bon Secours - Tuckahoe Orthopedics)
• Bon Secours Medical Group Richmond Specialty Care LLC
• Bon Secours Memorial Regional Medical Center (Bon Secours Behavioral Health Services)
• Bon Secours Memorial Regional Medical Center (Bon Secours Home Partners)

• Cardiovascular Disease Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.