Individual provider Active NPI

Mark Preston Hyde, MD

  • Obstetrics & Gynecology Physician
  • North Chesterfield, VA
National Provider Identifier
1811960271
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101049264 Issued in VA
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

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6274773MedicaidVA

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
I20100723000744 VA Practitioner - Obstetrics/Gynecology 6002948205 Reassigns benefits to 1 organization

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
Virginia Physicians for Women, LTDGroup PAC ID 8628057924, 46 clinicians

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

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Aug 2, 1993 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.