Active NPI
Derek Howard Martindale, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024177957
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5051 - Phone
- (804) 628-6990
- Fax
- (804) 628-6932
- NPI assigned
- Feb 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024177957 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | AC003998 | MD |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5051
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
24035 Three Notch Road
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other practice location 2
4660 Kenmore Avenue, Suite 100
Alexandria, VA 22304-1306
Phone (703) 751-5763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA, DC, MD
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181
1800 N Beauregard St
Suite 200
Alexandria, VA 22311-1725
Phone (703) 823-3750
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177957 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University Hospital Authority | Current | Accepting new patients | |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Virginia Anesthesia Services LLC | Current | Accepting new patients | |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greensboro Anesthesia Specialists Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Inova Cares - Community | Current | Accepting new patients | |
| Professional Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Rvlwf Michigan PLLC | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1 Poston Rd
Ste 110
Charleston, SC 29407
Phone (843) 876-1347
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
1714 E Hundred Rd
Ste 104
Chester, VA 23836
Phone (804) 681-0556
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
501 Rison St
Ste 130
Danville, VA 24541
Phone (434) 429-4290
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 362-3114
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878
1806 Summit Ave
Ste 300
Richmond, VA 23230
Phone (804) 315-3771
14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
-
- Certified Registered Nurse Anesthetist
- Chester, VA
- NPI 1073772612
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1881205144
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Children's Rehabilitation Hospital
- Charleston, SC
- NPI 1659101277
-
- Multi-Specialty Clinic/Center
- Novi, MI
- NPI 1891453684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1851782585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985051",
"telephone_number": "804-628-6990",
"fax_number": "804-628-6932"
}
],
"practiceLocations": [
{
"address_1": "24035 Three Notch Road",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "MD",
"postal_code": "206364871",
"country_code": "US",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4660 Kenmore Avenue, Suite 100",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223041306",
"country_code": "US",
"telephone_number": "703-751-5763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINDALE",
"first_name": "DEREK",
"middle_name": "HOWARD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-17",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024177957",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC003998",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.