Individual provider Active NPI

Suzanne Granados Spadafora, MD

  • Dermatology Physician
  • Richmond, VA
National Provider Identifier
1912907650
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101234502 Issued in VA
Practice address
6946 Forest Ave Ste 200
Richmond, VA 23230-1706
Phone
(804) 549-4040
Fax
(804) 549-4032
NPI assigned
Jul 22, 2005
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 0101234502 VA Primary

Addresses

Primary practice location

6946 Forest Ave Ste 200
Richmond, VA 23230-1706

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
7455490OtherAETNA
230864OtherSOUTHERN HEALTH
266822OtherANTHEM
010011001MedicaidVA
0300593OtherUNITED HEALTHCARE
P00044699OtherRAILROAD MEDICARE

Other names 1

  • Suzanne Noche Granados Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000949 VA Practitioner - Dermatology 5092706283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 1999
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

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
Melanoma (skin cancer) excision1-10
Removal of skin lesions2343
Removal or shaving of skin growth164
Skin biopsy168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234502VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Richmond PC Dermatology CurrentSince Aug 14, 2003 Accepting new patients

Locations

301 Concourse Blvd
Ste 190
Glen Allen, VA 23059

201 Concourse Blvd
Ste 200
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: suzannespadafora@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1912907650",
    "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": "6946 FOREST AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301706",
            "telephone_number": "804-549-4040",
            "fax_number": "804-549-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADAFORA",
        "first_name": "SUZANNE",
        "middle_name": "GRANADOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101234502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7455490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "230864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "266822",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010011001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0300593",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00044699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GRANADOS",
            "middle_name": "NOCHE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.