NPIMap

Organization Active NPI

Monument Pathologists Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Richmond, VA
National Provider Identifier
1700878238
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MONUMENT PATHOLOGISTS INC
Practice address
5801 Bremo Rd
Richmond, VA 23226-1907
Phone
(804) 764-6881
NPI assigned
Aug 19, 2005
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Jack Wilson, MDNPI 1851378145
Title
Director
Phone
(630) 472-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

5801 Bremo Rd
Richmond, VA 23226-1907

Mailing address

PO Box 91726
Richmond, VA 23291-1726

Other identifiers 6

IdentifierTypeStateIssuer
004282OtherVAANTHEM-BREMO ROAD
217815OtherVAANTHEM-ATLEE ROAD
570207OtherOPTIMAHEALTH
CI4193OtherRAILROAD MEDICARE
182967OtherVAANTHEM BCBS - ST. FRANCIS
52662OtherSOUTHERN HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000318 VA Part B Supplier - Clinic/Group Practice 0840260360 Receives reassigned benefits from 15 practitioners
Practice locations: Richmond, VA; Emporia, VA; Petersburg, VA; Midlothian, VA; Mechanicsville, VA; Kilmarnock, VA; Colonial Heights, VA; Chester, VA

National Provider Directory

National Provider Directory

Locations

12021 Route 1
Chester, VA 23831
Phone (804) 281-8100

13701 Centerpoint Pkwy
St Francis Medical Ctr
Midlothian, VA 23114
Phone (804) 594-7300

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1700878238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91726",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907",
            "telephone_number": "804-764-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT PATHOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-472-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-BREMO ROAD",
            "identifier": "004282",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-ATLEE ROAD",
            "identifier": "217815",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMAHEALTH",
            "identifier": "570207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS - ST. FRANCIS",
            "identifier": "182967",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "52662",
            "state": null
        }
    ],
    "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 Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.