NPIMap

Organization Active NPI

Virginia Diabetes and Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Midlothian, VA
National Provider Identifier
1821152570
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
VIRGINIA DIABETES AND ENDOCRINOLOGY PC
Practice address
348 Browns Hill CT
Midlothian, VA 23114-9511
Phone
(804) 272-2702
Fax
(804) 272-9355
NPI assigned
Dec 20, 2006
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Rebecca Jones
Title
Practice Manager
Phone
(804) 272-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

348 Browns Hill CT
Midlothian, VA 23114-9511

Mailing address

348 Brown's Hill CT
Midlothian, VA 23114
Phone (804) 272-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000653 VA Part B Supplier - Clinic/Group Practice 6800871278 Receives reassigned benefits from 11 practitioners
Practice locations: Midlothian, VA; Richmond, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1026335Virginia Diabetes and Endocrinology348 Browns Hill Court, Midlothian, VA 23114Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
VA Diabetes and Endocrinology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1821152570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 BROWN'S HILL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-272-2702",
            "fax_number": "804-272-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 BROWNS HILL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231149511",
            "telephone_number": "804-272-2702",
            "fax_number": "804-272-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA DIABETES AND ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "804-272-2702"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.