Individual provider Active NPI

Jillian Eileen Raybould, M.D.

  • Infectious Disease Physician
  • Richmond, VA
National Provider Identifier
1790075901
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101254733 Issued in VA
Practice address
1000 E Marshall St
Vmi Building, Suite 2015
Richmond, VA 23298-1901
Phone
(804) 828-9711
Fax
(804) 828-3097
NPI assigned
Apr 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 0101254733 VA Primary

Addresses

Primary practice location

1000 E Marshall St
Vmi Building, Suite 2015
Richmond, VA 23298-1901

Mailing address

1000 E Marshall St
Vmi Building, Suite 2015
Richmond, VA 23298-1901
Phone (804) 828-9711

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
I20170112003184 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3375825011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1200 E Broad St
Richmond, VA 23298-5025
Phone (804) 828-9000

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084
  • Community Memorial Hospital Hospital, South Hill, VA, CCN 490098

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254733VAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Oct 18, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1000 E Marshall St
Ste 2015
Richmond, VA 23298
Phone (804) 828-9711

Organizations & group practices 2

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 4

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": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1790075901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MARSHALL ST",
            "address_2": "VMI BUILDING, SUITE 2015",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232981901",
            "telephone_number": "804-828-9711",
            "fax_number": "804-828-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MARSHALL ST",
            "address_2": "VMI BUILDING, SUITE 2015",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232981901",
            "telephone_number": "804-828-9711",
            "fax_number": "804-828-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBOULD",
        "first_name": "JILLIAN",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101254733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.