NPIMap

Individual provider Active NPI

Patricia Kathleen Monge-Meberg, MD

  • Internal Medicine Physician
  • Kilmarnock, VA
National Provider Identifier
1881763209
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101234515 Issued in VA
Practice address
107 DMV Drive
Kilmarnock, VA 22482
Phone
(804) 435-3103
Fax
(804) 435-6695
NPI assigned
Nov 7, 2006
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101234515 VA Primary

Addresses

Primary practice location

107 DMV Drive
Kilmarnock, VA 22482

Mailing address

PO Box 1599
Kilmarnock, VA 22482-1599
Phone (804) 435-3103

Other identifiers 5

IdentifierTypeStateIssuer
136844OtherVAANTHEM
010060567MedicaidVA
244253OtherVASOUTHERN HEALTH
76557OtherVASENTARA MEDICAID NUMBER
7867546OtherVAAETNA

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
I20040819000838 VA Practitioner - Internal Medicine 8325011000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Internists IncGroup PAC ID 2062485733, 3 clinicians
Rappahannock Westminster-Canterbury, Inc.Group PAC ID 6103090345, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

107 DMV Dr
Kilmarnock, VA 22482-3843
Phone (804) 435-3103

132 Lancaster Dr
Irvington, VA 22480-9740
Phone (804) 438-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions41
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234515VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Internists, Inc. Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients

Locations

107 Dmv Dr
Kilmarnock, VA 22482
Phone (804) 435-2651

107 Dmv Dr
Bldg A
Kilmarnock, VA 22482

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 10

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1881763209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821599",
            "telephone_number": "804-435-3103",
            "fax_number": "804-435-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DMV DRIVE",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "22482",
            "telephone_number": "804-435-3103",
            "fax_number": "804-435-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGE-MEBERG",
        "first_name": "PATRICIA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101234515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "136844",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010060567",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "244253",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA MEDICAID NUMBER",
            "identifier": "76557",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7867546",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.