NPIMap

Individual provider Active NPI

Michelle E Headley, M. D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1760457600
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101051265 Issued in VA
Practice address
7001 Forest Ave Ste 302
Richmond, VA 23230-1726
Phone
(804) 282-2655
Fax
(804) 282-0676
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0101051265 VA Primary

Addresses

Primary practice location

7001 Forest Ave Ste 302
Richmond, VA 23230-1726

Mailing address

7001 Forest Ave Ste 302
Richmond, VA 23230-1726
Phone (804) 282-2655

Other practice location 1

2300 E Parham Rd
Richmond, VA 23228-3118
Phone (804) 264-7808

Other practice location 2

13901 Coalfield Commons Pl Ste 201
Midlothian, VA 23114-1219
Phone (804) 420-1200

Other identifiers 1

IdentifierTypeStateIssuer
5834490MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000505 VA Practitioner - Internal Medicine 7517860224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partner MD PCGroup PAC ID 8022002617, 24 clinicians

Practice addresses (Care Compare)

7001 Forest Ave
Suite 302
Richmond, VA 23230-1726
Phone (804) 282-2655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partner MD PC Internal Medicine CurrentSince Oct 2, 2017 Accepting new patients

Locations

13901 Coalfield Commons Pl
Midlothian, VA 23114
Phone (804) 420-1200

13901 Coalfield Commons Pl
Ste 201
Midlothian, VA 23114
Phone (804) 420-1200

7001 Forest Ave
Ste 302
Richmond, VA 23230
Phone (703) 288-3750

Interoperability endpoints

  • Direct secure messaging: michelle.headley.1@2180.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760457600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE STE 302",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-282-2655",
            "fax_number": "804-282-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE STE 302",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-282-2655",
            "fax_number": "804-282-0676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 E Parham Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232283118",
            "country_code": "US",
            "telephone_number": "804-264-7808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13901 Coalfield Commons Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231141219",
            "country_code": "US",
            "telephone_number": "804-420-1200",
            "fax_number": "804-420-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEADLEY",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5834490",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.