Active NPI
Mark Preston Hyde, MD
- Obstetrics & Gynecology Physician
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101049264
- Practice address
- 1212 Koger Center Blvd
North Chesterfield, VA 23235-4778 - Phone
- (804) 897-2100
- Fax
- (804) 897-9074
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101049264 | VA | Primary |
Addresses
Primary practice location
1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Mailing address
10710 Midlothian Tpke
Ste 200
Richmond, VA 23235-4759
Phone (804) 897-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6274773 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Texas Medical School at Houston, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 Koger Ctr Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100
13801 St Francis Blvd
Suite 150
Midlothian, VA 23114-3206
Phone (804) 897-2100
1775 Lake Harley Dr
Prince George, VA 23875-1259
Phone (804) 897-2100
5875 Bremo Rd
Suite 201
Richmond, VA 23226-1934
Phone (804) 897-2100
7605 Forest Ave
Suite 206
Richmond, VA 23229-4936
Phone (804) 897-2100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Physicians for Women LTD | Obstetrics & Gynecology | Current | Accepting new patients |
| Anesthesia Associates of Richmond, Inc | Past | Accepting new patients | |
| Central Virginia Gynecologic Oncology PC | Past | Accepting new patients |
Locations
13801 St Francis Blvd
Ste 150
Midlothian, VA 23114
1212 Koger Center Blvd
North Chesterfield, VA 23235
Phone (804) 408-4654
10710 Midlothian Tpke
Ste 200
North Chesterfield, VA 23235
1775 Lake Harley Dr
Prince George, VA 23875
7611 Forest Ave
Ste 200
Richmond, VA 23229
1630 Wilkes Ridge Pkwy
Ste 200
Richmond, VA 23233
Phone (804) 804-8972
5875 Bremo Rd
Ste 201
Richmond, VA 23226
7605 Forest Ave
Ste 206
Richmond, VA 23229
Phone (804) 272-5808
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405
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.
-
- Obstetrics & Gynecology Physician
- North Chesterfield, VA
- NPI 1639137979
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1801831656
-
- Gynecologic Oncology Physician
- North Chesterfield, VA
- NPI 1285764738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1811960271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 MIDLOTHIAN TPKE",
"address_2": "STE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354759",
"telephone_number": "804-897-2100",
"fax_number": "804-897-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 KOGER CENTER BLVD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354778",
"telephone_number": "804-897-2100",
"fax_number": "804-897-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "MARK",
"middle_name": "PRESTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101049264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6274773",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.