Active NPI
Robyn Marie Reale, PA-C
- Physician Assistant
- Fort Gregg- Adams, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002227
- Practice address
- 700 24TH Street
Kenner Army Health Clinic
Fort Gregg- Adams, VA 23801-1716 - Phone
- (804) 734-9057
- Fax
- (804) 734-9289
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002227 | VA | Primary |
Addresses
Primary practice location
700 24TH Street
Kenner Army Health Clinic
Fort Gregg- Adams, VA 23801-1716
Mailing address
Kenner Army Health Clinic
700 24 TH Street
Fort Gregg-Adams, VA 23801-1716
Phone (804) 734-9057
Other practice location 1
11201 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (804) 887-8322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790750628 | Medicaid | VA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 N Nansemond St
Richmond, VA 23221-2768
Phone (804) 877-8327
11201 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (804) 887-8322
14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702
1502 N Parham Rd
Richmond, VA 23229-4661
Phone (804) 877-8323
4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324
9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Primary Care | Current | Accepting new patients | |
| Henrico Surgical Specialists, LLC | Past | Accepting new patients |
Locations
7140 Hull Street Rd
Ste 101
North Chesterfield, VA 23235
Phone (804) 276-4141
9930 Independence Park Dr
Ste 101
Richmond, VA 23233
Phone (804) 290-0060
1800 Glenside Dr
Ste 105
Richmond, VA 23226
Phone (804) 288-0399
Interoperability endpoints
- rreale2806750@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- Family Medicine Physician
- Richmond, VA
- NPI 1750571287
-
- Surgery Physician
- Richmond, VA
- NPI 1639301005
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
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": "1744070400000",
"number": "1790750628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KENNER ARMY HEALTH CLINIC",
"address_2": "700 24 TH STREET",
"city": "FORT GREGG-ADAMS",
"state": "VA",
"postal_code": "238011716",
"telephone_number": "804-734-9057",
"fax_number": "804-734-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 24TH STREET",
"address_2": "KENNER ARMY HEALTH CLINIC",
"city": "FORT GREGG- ADAMS",
"state": "VA",
"postal_code": "238011716",
"telephone_number": "804-734-9057",
"fax_number": "804-734-9289"
}
],
"practiceLocations": [
{
"address_1": "11201 Nuckols Rd",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230595502",
"country_code": "US",
"telephone_number": "804-887-8322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REALE",
"first_name": "ROBYN",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790750628",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Gregg- Adams, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.