NPIMap

Individual provider Active NPI

Aivi N Masterson, M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1891138467
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101259787 Issued in VA
Practice address
9600 Patterson Ave
Richmond, VA 23229
Phone
(804) 741-6200
Fax
(804) 741-6213
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101259787 VA Primary

Addresses

Primary practice location

9600 Patterson Ave
Richmond, VA 23229

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Other identifiers 1

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTANC

Other names 1

  • Aivi Nguyen-Cao Former name

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
I20160917000452 VA Practitioner - Family Practice 5193953495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours St Marys Hospital of Richmond LLCGroup PAC ID 8527969476, 66 clinicians

Practice addresses (Care Compare)

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

Hospital & facility affiliations

  • Compassus BSMH Richmond HHA, LLC Home health agency, Richmond, VA, CCN 497026
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Richmond Community Hospital Hospital, Richmond, VA, CCN 490094
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259787VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Mary'S Hospital of Richmond LLC Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Aug 1, 2016 Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9600 Patterson Ave
Richmond, VA 23229
Phone (804) 285-6818

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: amasterson1153482@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1891138467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23229",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "AIVI",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101259787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTANC",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIVI",
            "last_name": "NGUYEN-CAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.