Active NPI
Carlos Alexis Llanes, MD
- Addiction Medicine (Preventive Medicine) Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 0101288236
- Practice address
- 501 N 2ND St
Richmond, VA 23219-1321 - Phone
- (804) 628-6777
- Fax
- (804) 638-6768
- NPI assigned
- Apr 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 081411 | CT | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 1019289 | MA | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 0101288236 | VA | Primary |
Addresses
Primary practice location
501 N 2ND St
Richmond, VA 23219-1321
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
1250 Silver St
Middletown, CT 06457-3946
Phone (860) 346-0300
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 628-6777
Other practice location 3
1308 Sherwood Ave
Richmond, VA 23220-1210
Phone (804) 828-3129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1250 Silver St
Middletown, CT 06457-3946
1290 Silas Deane Hwy
Wethersfield, CT 06109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081411 | CT | MD | Addiction Medicine (Family Medicine) Physician |
| 1019289 | MA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Current | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | Accepting new patients | |
| MCV Associated Physicians | Family Medicine | Past | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
1250 Silver St
Middletown, CT 06457
Phone (860) 346-0300
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 and National Provider Directory roles.
-
- Psychologist
- Meriden, CT
- NPI 1275541005
-
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1679156384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 2ND ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191321",
"telephone_number": "804-628-6777",
"fax_number": "804-638-6768"
}
],
"practiceLocations": [
{
"address_1": "1250 Silver St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064573946",
"country_code": "US",
"telephone_number": "860-346-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-628-6777",
"fax_number": "804-628-6768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1308 Sherwood Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232201210",
"country_code": "US",
"telephone_number": "804-828-3129",
"fax_number": "804-628-1236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LLANES",
"first_name": "CARLOS",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CT",
"license": "081411",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MA",
"license": "1019289",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "VA",
"license": "0101288236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.