NPIMap

Individual provider Active NPI

Robert E Mitchell III, M.D.

  • Gastroenterology Physician
  • Richmond, VA
National Provider Identifier
1639252109
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101040964 Issued in VA
Practice address
7605 Forest Ave Ste 211
Richmond, VA 23229-4940
Phone
(804) 282-3114
Fax
(804) 285-9723
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101040964 VA Primary

Addresses

Primary practice location

7605 Forest Ave Ste 211
Richmond, VA 23229-4940

Mailing address

7605 Forest Ave Ste 211
Richmond, VA 23229-4940
Phone (804) 282-3114

Other identifiers 3

IdentifierTypeStateIssuer
0101040964OtherVASTATE LICENSE
217009OtherANTHEM PROVIDER NUMBER
1023106390OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000491 VA Practitioner - Gastroenterology 9032397203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Associates PCGroup PAC ID 4082892088, 15 clinicians

Practice addresses (Care Compare)

7605 Forest Ave
Suite 211
Richmond, VA 23229-4940
Phone (804) 282-3114

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

Merit-based Incentive Payment System (MIPS)

Final score
26.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy382
Upper gastrointestinal (GI) endoscopy for acid reflux150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101040964VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Associates PC Gastroenterology CurrentSince Dec 1, 2000 Accepting new patients
North American Partners in Anesthesia (Virginia), LLC PastSince Dec 1, 2000 Accepting new patients

Locations

7605 Forest Ave
Ste 211
Richmond, VA 23229
Phone (804) 282-3114

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1639252109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE STE 211",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294940",
            "telephone_number": "804-282-3114",
            "fax_number": "804-285-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE STE 211",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294940",
            "telephone_number": "804-282-3114",
            "fax_number": "804-285-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101040964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101040964",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "217009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1023106390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.