Individual provider Active NPI

Monique Hiersoux Vaughan, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Charlottesville, VA
National Provider Identifier
1720344591
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
0101266924 Issued in VA
Practice address
500 Ray C Hunt Dr
Charlottesville, VA 22903-2981
Phone
(434) 924-2103
Fax
(434) 243-6329
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 207V00000X VA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 2016-00379 NC
Student in an Organized Health Care Education/Training Program 390200000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 0101266924 VA Primary

Addresses

Primary practice location

500 Ray C Hunt Dr
Charlottesville, VA 22903-2981

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other practice location 1

1221 Lee Street
Charlottesville, VA 22908
Phone (434) 924-1955

Other practice location 2

2955 Ivy Rd Ste 304
Charlottesville, VA 22903-9353
Phone (434) 243-4570

Other practice location 3

2955 Ivy Rd
Charlottesville, VA 22903-9353
Phone (434) 243-4720

Other practice location 4

5324 McFarland Rd
#310
Durham, NC 27707-6865
Phone (919) 401-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://uvahealth.com/locations/profile/uva-pelvic-medicine-and-reconstructive-surgery

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
I20190919000620 VA Practitioner - Obstetrics/Gynecology 4385872241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

1221 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-2500

Hospital & facility affiliations

  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207V00000XVAMDObstetrics & Gynecology Physician
2016-00379NCMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 1, 2019 Accepting new patients
Family Health Centers of Southwest Florida Inc Past Accepting new patients

Locations

2955 Ivy Rd
Ste 304
Charlottesville, VA 22903
Phone (434) 243-4570

1221 Lee St
Charlottesville, VA 22908

500 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 924-2224

2955 Ivy Rd
Charlottesvle, VA 22903
Phone (434) 980-6555

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: mvaughan173443@direct.healthsystem.virginia.edu
  • Direct secure messaging: monique.vaughan.1@20955.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1720344591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RAY C HUNT DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032981",
            "telephone_number": "434-924-2103",
            "fax_number": "434-243-6329"
        }
    ],
    "practiceLocations": [
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            "address_purpose": "LOCATION",
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            "state": "VA",
            "postal_code": "22908",
            "country_code": "US",
            "telephone_number": "434-924-1955",
            "fax_number": "434-982-1841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Ivy Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229039353",
            "country_code": "US",
            "telephone_number": "434-243-4570",
            "fax_number": "434-295-5491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Ivy Rd",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229039353",
            "country_code": "US",
            "telephone_number": "434-243-4720",
            "fax_number": "434-243-4733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5324 McFarland Rd",
            "address_2": "#310",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277076865",
            "country_code": "US",
            "telephone_number": "919-401-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MONIQUE",
        "middle_name": "HIERSOUX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "207V00000X",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NC",
            "license": "2016-00379",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "VA",
            "license": "0101266924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://uvahealth.com/locations/profile/uva-pelvic-medicine-and-reconstructive-surgery",
            "affiliation": "N",
            "address_1": "500 Ray C Hunt Dr Ste 305",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229032981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.