Individual provider Active NPI

Derek Howard Martindale, CRNA

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
National Provider Identifier
1851782585
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024177957 Issued in VA
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180919002533 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254657471 Reassigns benefits to 1 organization
I20190909004043 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254657471 Reassigns benefits to 7 organizations
I20211011000098 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254657471 Reassigns benefits to 4 organizations
I20260505000354 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254657471 Reassigns benefits to 1 organization

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
Old Dominion Anesthesia LLCGroup PAC ID 8820462765, 57 clinicians
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

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

LicenseStateTypeSpecialty
0024177957VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince Jul 12, 2018 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Mar 1, 2023 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Oct 1, 2019 Accepting new patients
Virginia Anesthesia Services LLC CurrentSince Oct 14, 2022 Accepting new patients
Medical University Hospital Authority Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2018 Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Greensboro Anesthesia Specialists Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients
Professional Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2019 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Oct 1, 2019 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.

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.

Verify at the official NPI Registry.