Active NPI
Steven C Mares, MD
- Pediatrics Physician
- Williamsburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101049927
- Practice address
- 1162 Professional Dr
Williamsburg, VA 23185 - Phone
- (757) 253-5757
- Fax
- (757) 229-0265
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101049927 | VA | Primary |
Addresses
Primary practice location
1162 Professional Dr
Williamsburg, VA 23185
Mailing address
1162 Professional Dr
Williamsburg, VA 23185
Phone (757) 253-5757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010099803 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049927 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Pediatrics | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Sentara Medical Group | Pediatrics | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Pediatrics | Current | Accepting new patients |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Virginia Hospitalists Inc | Past | Accepting new patients | |
| Princeton Community Hospital Assn., Inc. | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550
850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
4374 New Town Ave
Ste 202
Williamsburg, VA 23188
Phone (757) 253-5757
1162 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-1246
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Interoperability endpoints
- smares28559@direct.sentara.net
Organizations & group practices 11
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.
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Pediatrics
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
-
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1427047562
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1639144686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 PROFESSIONAL DR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23185",
"telephone_number": "757-253-5757",
"fax_number": "757-229-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 PROFESSIONAL DR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23185",
"telephone_number": "757-253-5757",
"fax_number": "757-229-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARES",
"first_name": "STEVEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101049927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010099803",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.