Peter T Wilbanks, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101048724 Issued in VA

Practice address

12129 Graham Meadows Dr
Richmond, VA 23233-6661

Phone

(804) 288-4084

Fax

(804) 282-2601

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, DC2 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

Specialty

Obstetrics/Gynecology

Education

Virginia Commonwealth University, School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: peter.wilbanks.2@8042.direct.athenahealth.com

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Virginia Womens Center Inc

  • Specialist
  • Richmond, VA
  • NPI 1740594332
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)
• Summit Health Care Inc

  • Specialist
  • Richmond, VA
  • NPI 1568418655
  NPD (past)
• Summit Health Care, Inc.

  • Obstetrics & Gynecology Physician
  • Colonial Heights, VA
  • NPI 1598861411
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902880594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 GRAHAM MEADOWS DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232336661",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-2601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15237 Creativity Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227012504",
            "country_code": "US",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "PETER",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101048724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902880594",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Anne Wiggins, D.P.T
• Sandra Leigh Wiggins, LPC
• Taylor Wiggins, PA
• Wii Care Transportation LLC
• Niran Romesh Wijesooriya, M.D.
• Marie A Wilborn, CRNA
• Lylarose Adele Wilby, DDS
• Julie M Wilcox, LCSW
• Michael R Wild, D.C.
• Kathryn Pamela Wilder Schaaf, PHD

• Obstetrics & Gynecology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.