NPIMap

Individual provider Active NPI

Kim Marie Panzarella, MD

  • Dermatology Physician
  • Colonial Heights, VA
National Provider Identifier
1871593244
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101231763 Issued in VA
Practice address
280 Charles H Dimmock Pkwy Ste 4
Colonial Heights, VA 23834-2940
Phone
(804) 549-4030
Fax
(804) 549-4032
NPI assigned
Jul 28, 2005
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101231763 VA Primary

Addresses

Primary practice location

280 Charles H Dimmock Pkwy Ste 4
Colonial Heights, VA 23834-2940

Mailing address

7201 Glen Forest Dr Ste 100
Richmond, VA 23226-3759
Phone (804) 549-4030

Other identifiers 6

IdentifierTypeStateIssuer
2906423OtherAETNA
384358OtherANTHEM
070016578OtherRAILROAD MEDICARE
0300462OtherUNITED HEALTHCARE
150946OtherSOUTHERN HEALTH
005902096MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000600 VA Practitioner - Dermatology 0749474054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Richmond PCGroup PAC ID 5092702548, 22 clinicians

Practice addresses (Care Compare)

6946 Forest Ave
Suite 200
Richmond, VA 23230-1706
Phone (804) 549-4040

7201 Glen Forest Dr
Suite 100
Richmond, VA 23226-3759

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
70.12
Promoting interoperability
100
Improvement activities
40
Cost
75.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions3655
Removal or shaving of skin growth432
Skin biopsy352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Richmond PC Dermatology CurrentSince Feb 1, 2002 Accepting new patients

Locations

280 Charles H Dimmock Pkwy
Ste 4
Colonial Hgts, VA 23834
Phone (804) 520-0205

201 Concourse Blvd
Ste 200
Glen Allen, VA 23059

301 Concourse Blvd
Ste 190
Glen Allen, VA 23059

6946 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 285-2006

7201 Glen Forest Dr
Ste 100
Richmond, VA 23226

Interoperability endpoints

  • Direct secure messaging: kimpanzarella@da.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1871593244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GLEN FOREST DR STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263759",
            "telephone_number": "804-549-4030",
            "fax_number": "804-549-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CHARLES H DIMMOCK PKWY STE 4",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342940",
            "telephone_number": "804-549-4030",
            "fax_number": "804-549-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZARELLA",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101231763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2906423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "384358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070016578",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0300462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "150946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005902096",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.