Individual provider Active NPI

Margaret Adeniji, MD

  • Family Medicine Physician
  • Dumfries, VA
National Provider Identifier
1730168600
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101056308 Issued in VA
Practice address
3700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025
Phone
(703) 441-7500
Fax
(434) 947-5971
NPI assigned
Jan 10, 2006
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101056308 VA Primary
Family Medicine Physician 207Q00000X MD457136 PA

Addresses

Primary practice location

3700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025

Mailing address

3700 Fettler Park
Dumfries Health Center
Dumfries, VA 22025
Phone (703) 441-7500

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
I20040708001480 VA Practitioner - Family Practice 7012995830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD457136PAMDFamily Medicine Physician
0101056308VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Oct 1, 2017 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Apr 4, 2017 Accepting new patients
Riverside Physician Services, Inc. Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Apr 4, 2017 Accepting new patients

Locations

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601
Phone (757) 316-5725

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Organizations & group practices 5

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1730168600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 FETTLER PARK",
            "address_2": "DUMFRIES HEALTH CENTER",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-441-7500",
            "fax_number": "434-947-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FETTLER PARK",
            "address_2": "DUMFRIES HEALTH CENTER",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "22025",
            "telephone_number": "703-441-7500",
            "fax_number": "434-947-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIJI",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101056308",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD457136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.