Individual provider Active NPI

Natalie Lee Villanueva Penaranda, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Richmond, VA
National Provider Identifier
1649552530
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101258640 Issued in VA
Practice address
1201 Broad Rock Blvd
Richmond, VA 23224-4915
Phone
(804) 675-6746
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101258640 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
Richmond, VA 23224-4915

Mailing address

1201 Broad Rock Blvd
GHCC
Richmond, VA 23224-4915
Phone (240) 421-3750

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
I20151111001513 VA Order and Referring Only - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Geriatric Medicine 2961712567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258640VAMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1649552530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "GHCC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244915",
            "telephone_number": "240-421-3750",
            "fax_number": "240-421-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244915",
            "telephone_number": "804-675-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENARANDA",
        "first_name": "NATALIE",
        "middle_name": "LEE VILLANUEVA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101258640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.