Organization Active NPI

SM Healthcare LLC

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1871316539
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SM HEALTHCARE LLC
Practice address
9528 Pine Trails CT
Henrico, VA 23294-5344
Phone
(804) 201-1455
Fax
(804) 282-9135
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Serrja Manoj, NP
Title
Sole Member
Phone
(804) 201-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9528 Pine Trails CT
Henrico, VA 23294-5344

Mailing address

9528 Pine Trails CT
Henrico, VA 23294-5344
Phone (804) 201-1455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209001332 VA Part B Supplier - Clinic/Group Practice 2860928215 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1871316539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9528 PINE TRAILS CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232945344",
            "telephone_number": "804-201-1455",
            "fax_number": "804-282-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 PINE TRAILS CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232945344",
            "telephone_number": "804-201-1455",
            "fax_number": "804-282-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "MANOJ",
        "authorized_official_first_name": "SERRJA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "804-201-1455",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.