Individual provider Active NPI

Steven C Mares, MD

  • Pediatrics Physician
  • Williamsburg, VA
National Provider Identifier
1639144686
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101049927 Issued in VA
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

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010099803MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041206000069 VA Practitioner - Pediatric Medicine 7214993955 Reassigns benefits to 3 organizations
I20130927000456 DC Practitioner - Pediatric Medicine 7214993955 Reassigns benefits to 1 organization
I20240612000290 WV Practitioner - Hospitalist 7214993955 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101049927VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC Pediatrics CurrentSince Oct 19, 2010 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 1, 2012 Accepting new patients
Children'S Hospital CurrentSince Aug 16, 2013 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Aug 16, 2013 Accepting new patients
Sentara Medical Group Pediatrics CurrentSince Oct 20, 2010 Accepting new patients
Mary Washington Healthcare Physicians Pediatrics CurrentSince Aug 1, 2012 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Apr 2, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Apr 2, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.