Individual provider Active NPI

Tahira Naviwala, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Midlothian, VA
National Provider Identifier
1811052491
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
0101239448 Issued in VA
Practice address
14051 St Francis Blvd
Suite 2209
Midlothian, VA 23114-3201
Phone
(804) 288-2673
Fax
(804) 639-8069
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101239448 VA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 0101239448 VA Primary
Interventional Pain Medicine Physician 208VP0014X 0101239448 VA

Addresses

Primary practice location

14051 St Francis Blvd
Suite 2209
Midlothian, VA 23114-3201

Mailing address

14051 St Francis Blvd
Suite 2209
Midlothian, VA 23114-3201
Phone (804) 288-2673

Other identifiers 2

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN
1811052491MedicaidVA

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
I20060330000536 VA Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Pain Management 7911915061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239448VAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Geriatric Medicine CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Nov 1, 2016 Accepting new patients
Bon Secours St Mary'S Hospital of Richmond LLC CurrentSince Nov 1, 2016 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince Jan 30, 2009 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Interventional Pain Medicine Current Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Hospice and Palliative Medicine CurrentSince Jan 30, 2009 Accepting new patients
Rector & Visitors of the University of Virginia Past Accepting new patients
Bon Secours-St. Mary'S Hospital of Richmond, Inc. Past Accepting new patients
Virginia Hospitalists Inc Past Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients

Locations

14051 St Francis Blvd
Ste 2209
Midlothian, VA 23114
Phone (804) 288-2673

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7300 Beaufont Spring Dr
Ste 101
North Chesterfield, VA 23225

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7101 Jahnke Rd
#611
Richmond, VA 23225
Phone (540) 498-4000

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275

Interoperability endpoints

  • Direct secure messaging: tnaviwala1154129@direct.bsmhealth.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1811052491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 ST FRANCIS BLVD",
            "address_2": "SUITE 2209",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143201",
            "telephone_number": "804-288-2673",
            "fax_number": "804-639-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 ST FRANCIS BLVD",
            "address_2": "SUITE 2209",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143201",
            "telephone_number": "804-288-2673",
            "fax_number": "804-639-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVIWALA",
        "first_name": "TAHIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101239448",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101239448",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101239448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811052491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.