NPIMap

Organization Active NPI

Commonwealth Internal Medicine & Geriatrics PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Montpelier, VA
National Provider Identifier
1750340709
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
COMMONWEALTH INTERNAL MEDICINE & GERIATRICS PC
Practice address
16618 Mountain Rd
Suite B
Montpelier, VA 23192-2649
Phone
(804) 883-0052
Fax
(804) 883-0054
NPI assigned
Mar 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Mrs. Hengly Ky
Title
President
Phone
(804) 883-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

16618 Mountain Rd
Suite B
Montpelier, VA 23192-2649

Mailing address

330 Pembroke LN
Richmond, VA 23238-6221
Phone (804) 545-6860

Other identifiers 1

IdentifierTypeStateIssuer
1356679138OtherVAPHYSICIAN NPI

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2921/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1750340709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PEMBROKE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232386221",
            "telephone_number": "804-545-6860",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16618 MOUNTAIN RD",
            "address_2": "SUITE B",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922649",
            "telephone_number": "804-883-0052",
            "fax_number": "804-883-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH INTERNAL MEDICINE & GERIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "KY",
        "authorized_official_first_name": "HENGLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-883-0052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1356679138",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.