NPIMap

Individual provider Active NPI

Emily Bellavance, MD

  • Surgical Oncology Physician
  • North Chesterfield, VA
National Provider Identifier
1669597563
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
0101268127 Issued in VA
Practice address
10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235-4766
Phone
(804) 348-2814
Fax
(855) 815-0304
NPI assigned
Mar 20, 2007
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X D66605 MD
Surgical Oncology Physician 2086X0206X 0101268127 VA Primary

Addresses

Primary practice location

10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235-4766

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 391-4171

Other practice location 1

Belfield Medical Office Building
Emporia, VA 23847
Phone (804) 348-2814

Other practice location 2

4730 Puddledock Rd Ste 100
Prince George, VA 23875-1274
Phone (804) 348-2814

Other practice location 3

263 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 431-1100

Other identifiers 1

IdentifierTypeStateIssuer
1194079590MedicaidVA

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
I20200115002314 VA Practitioner - General Surgery 7416127295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10710 Midlothian Tpke
Suite 138
North Chesterfield, VA 23235-4766
Phone (804) 348-2814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
58.64
Promoting interoperability
81
Improvement activities
40
Cost
66.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy57
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D66605MDMDSurgical Oncology Physician
0101268127VAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated CurrentSince Jan 3, 2020 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Jan 3, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10710 Midlothian Tpke
Ste 138
North Chesterfield, VA 23235
Phone (804) 330-4990

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

263 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 431-1100

4730 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 452-3850

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 3

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1669597563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-391-4171",
            "fax_number": "804-200-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TPKE STE 138",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354766",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Belfield Medical Office Building",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "23847",
            "country_code": "US",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4730 Puddledock Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751274",
            "country_code": "US",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "23805",
            "country_code": "US",
            "telephone_number": "804-431-1100",
            "fax_number": "804-862-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAVANCE",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "D66605",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VA",
            "license": "0101268127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194079590",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.