Individual provider Active NPI

Clemente Solante Estrera Jr., M.D.

  • Adult Medicine Physician
  • Petersburg, VA
National Provider Identifier
1699747584
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0101027965 Issued in VA
Practice address
Hwdmc, 7TH Albemarle
Petersburg, VA 23803
Phone
(804) 525-7420
Fax
(804) 524-4828
NPI assigned
Feb 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 0101027965 VA Primary

Addresses

Primary practice location

Hwdmc, 7TH Albemarle
Petersburg, VA 23803

Mailing address

12930 Chesdin Landing Dr
Chesterfield, VA 23838-3234
Phone (804) 590-3773

Other identifiers 1

IdentifierTypeStateIssuer
0101027965OtherVASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of VA Hiram W Davis Medical Center CurrentSince Oct 1, 2015 Accepting new patients
Commonwealth of Virginia Hiram W. Davis Medical Center CurrentSince Oct 1, 2015 Accepting new patients

Locations

26317 Washington St
North Dinwiddie, VA 23803
Phone (804) 524-7000

26317 Washington St
Bldg 110
North Dinwiddie, VA 23803
Phone (804) 524-7344

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699747584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 CHESDIN LANDING DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383234",
            "telephone_number": "804-590-3773",
            "fax_number": "804-590-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWDMC, 7TH ALBEMARLE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-525-7420",
            "fax_number": "804-524-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRERA",
        "first_name": "CLEMENTE",
        "middle_name": "SOLANTE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101027965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "0101027965",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.