Individual provider Active NPI

Gabriella Ferraioli Richardson, MD

  • Pediatrics Physician
  • Virginia Beach, VA
National Provider Identifier
1649546037
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101257499 Issued in VA
Practice address
1800 Camelot Dr
Virginia Beach, VA 23454-2440
Phone
(757) 252-9600
NPI assigned
Mar 29, 2012
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 0101257499 VA Primary

Addresses

Primary practice location

1800 Camelot Dr
Virginia Beach, VA 23454-2440

Mailing address

1800 Camelot Dr
Virginia Beach, VA 23454-2440
Phone (757) 252-9600

Other practice location 1

20306 Badger Lane
Onley, VA 23418
Phone (757) 787-7374

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150807014301 VA Practitioner - Pediatric Medicine 6709190416 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257499VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC Pediatrics CurrentSince Jul 1, 2015 Accepting new patients
Sentara Medical Group Pediatrics CurrentSince Jul 25, 2022 Accepting new patients

Locations

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1800 Camelot Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 252-9600

Interoperability endpoints

  • Direct secure messaging: grichardson765827@direct.sentara.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1649546037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-252-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-252-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20306 Badger Lane",
            "address_purpose": "LOCATION",
            "city": "Onley",
            "state": "VA",
            "postal_code": "23418",
            "country_code": "US",
            "telephone_number": "757-787-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GABRIELLA",
        "middle_name": "FERRAIOLI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101257499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.