Active NPI
Kimberly M Dembeck, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
National Provider Identifier
1861410813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024166902
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5023 - Phone
- (804) 828-2207
- Fax
- (804) 828-8300
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024166902 | VA | Primary |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5023
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
9101 Stony Point Dr
Richmond, VA 23235
Phone (804) 330-9105
Other practice location 2
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010271819 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | fhir.virginiaurology.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.01 of 100
- Quality
- 47.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166902 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Urology Center | Current | Accepting new patients | |
| Virginia Urology Center, P.C. | Current | Accepting new patients |
Locations
9101 Stony Point Dr
Richmond, VA 23235
Interoperability endpoints
- kimberly.dembeck.1@30293.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Urology Physician
- Richmond, VA
- NPI 1164485876
-
- Durable Medical Equipment & Medical Supplies
- Richmond, VA
- NPI 1184979833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1861410813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"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": "232985023",
"telephone_number": "804-828-2207",
"fax_number": "804-828-8300"
}
],
"practiceLocations": [
{
"address_1": "9101 Stony Point Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23235",
"country_code": "US",
"telephone_number": "804-330-9105",
"fax_number": "804-287-6119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-364-6640",
"fax_number": "804-364-6642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMBECK",
"first_name": "KIMBERLY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024166902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010271819",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "fhir.virginiaurology.com",
"affiliation": "N",
"address_1": "9101 Stony Point Dr",
"city": "Richmond",
"state": "VA",
"country_code": "US",
"postal_code": "23235",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 18, 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.