Individual provider Active NPI

Albert Magnin Jr., MD

  • Internal Medicine Physician
  • Hopewell, VA
National Provider Identifier
1760454276
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101037824 Issued in VA
Practice address
815 W Poythress St
Hopewell, VA 23860-2532
Phone
(804) 458-8557
Fax
(804) 541-7113
NPI assigned
Feb 7, 2006
Last updated
Jun 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101037824 VA Primary

Addresses

Primary practice location

815 W Poythress St
Hopewell, VA 23860-2532

Mailing address

815 W Poythress St
Hopewell, VA 23860-2532
Phone (804) 458-8557

Other identifiers 2

IdentifierTypeStateIssuer
005613949MedicaidVA
059986OtherVAANTHEM

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
I20080501000054 VA Practitioner - Internal Medicine 1355420449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appomattox River Primary Care LLCGroup PAC ID 8022493469, 6 clinicians

Practice addresses (Care Compare)

Colonial Heights, VA 23834
Phone (804) 520-1110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appomattox River Primary Care, LLC Internal Medicine CurrentSince Sep 3, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3512 Boulevard
Colonial Hgts, VA 23834
Phone (804) 520-1110

815 W Poythress St
Hopewell, VA 23860
Phone (804) 458-3429

Interoperability endpoints

  • Direct secure messaging: albert.magnin@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1760454276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W POYTHRESS ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602532",
            "telephone_number": "804-458-8557",
            "fax_number": "804-541-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W POYTHRESS ST",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602532",
            "telephone_number": "804-458-8557",
            "fax_number": "804-541-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNIN",
        "first_name": "ALBERT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101037824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005613949",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "059986",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

Verify at the official NPI Registry.