Individual provider Active NPI

Blair Noel Costin, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • North Chesterfield, VA
National Provider Identifier
1891220125
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
0101265591 Issued in VA
Practice address
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone
(804) 483-5000
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101265591 VA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 0101265591 VA Primary
Anesthesiology Physician 207L00000X 2022-01397 NC

Addresses

Primary practice location

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4855

Other practice location 1

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 541-1600

Other practice location 2

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 3

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2207

Other practice location 4

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

Other practice location 5

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000

Other practice location 6

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (804) 747-5600

Other practice location 7

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 254-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220916002145 NC Practitioner - Anesthesiology 8325318710 Reassigns benefits to 1 organization
I20250214002052 VA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 8325318710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000

Hospital & facility affiliations

  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101265591VAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians Anesthesiology CurrentSince Jan 9, 2025 Accepting new patients
Regional Anesthesia, PLLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

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.

Hospital & facility affiliations 2

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1891220125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-483-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Hopewell",
            "state": "VA",
            "postal_code": "238602938",
            "country_code": "US",
            "telephone_number": "804-541-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-2207",
            "fax_number": "804-828-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Skipwith Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232295205",
            "country_code": "US",
            "telephone_number": "804-289-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Jahnke Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254017",
            "country_code": "US",
            "telephone_number": "804-483-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 E Parham Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944301",
            "country_code": "US",
            "telephone_number": "804-747-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232204308",
            "country_code": "US",
            "telephone_number": "804-254-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTIN",
        "first_name": "BLAIR",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101265591",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "VA",
            "license": "0101265591",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2022-01397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.