Individual provider Active NPI

Drina Anne Northam, M.D.

  • Obstetrics & Gynecology Physician
  • Newport News, VA
National Provider Identifier
1740470376
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101250091 Issued in VA
Practice address
11747 Jefferson Ave Ste 1B
Newport News, VA 23606-4401
Phone
(757) 592-9600
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101250091 VA
Obstetrics & Gynecology Physician 207V00000X 0101250091 VA Primary

Addresses

Primary practice location

11747 Jefferson Ave Ste 1B
Newport News, VA 23606-4401

Mailing address

11747 Jefferson Ave Ste 1B
Newport News, VA 23606-4401
Phone (757) 592-9600

Other identifiers 1

IdentifierTypeStateIssuer
0101250091OtherVAVIRGINIA LICENSE

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
I20110823000455 VA Practitioner - Obstetrics/Gynecology 7618147059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11747 Jefferson Ave
Suite 1B
Newport News, VA 23606-4401
Phone (757) 592-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250091VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Executive Healthcare, PC Obstetrics & Gynecology Current Accepting new patients
Women'S Executive Healthcare, PC Obstetrics & Gynecology CurrentSince Sep 16, 2021 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

11747 Jefferson Ave
Ste 1B
Newport News, VA 23606
Phone (757) 591-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24830/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/610/brand/3/csg/45/fhir/r4
  • Direct secure messaging: drina.northam.1@24830.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1740470376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11747 JEFFERSON AVE STE 1B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064401",
            "telephone_number": "757-592-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11747 JEFFERSON AVE STE 1B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064401",
            "telephone_number": "757-592-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHAM",
        "first_name": "DRINA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101250091",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101250091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE",
            "identifier": "0101250091",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.