NPIMap

Individual provider Active NPI

John Eric Port, M.D.

  • Internal Medicine Physician
  • Midlothian, VA
National Provider Identifier
1912936154
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101239293 Issued in VA
Practice address
13700 St Francis Blvd
Suite 510
Midlothian, VA 23114-3222
Phone
(804) 423-8470
Fax
(804) 423-8471
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 0101239293 VA Primary

Addresses

Primary practice location

13700 St Francis Blvd
Suite 510
Midlothian, VA 23114-3222

Mailing address

13700 St Francis Blvd
Suite 510
Midlothian, VA 23114-3223
Phone (804) 423-8470

Other identifiers 1

IdentifierTypeStateIssuer
C06695OtherVAGROUP PTAN

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
I20061016000424 VA Practitioner - Internal Medicine 0143226068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

611 Watkins Centre Pkwy
Suite 250
Midlothian, VA 23114-4404
Phone (804) 423-8470

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Primary Care LLC Internal Medicine CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours St. Francis Medical Center Inc CurrentSince Mar 15, 2020 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Mar 15, 2020 Accepting new patients
Bon Secours-St. Mary'S Hospital of Richmond, Inc. CurrentSince Mar 15, 2020 Accepting new patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients
Bon Secours St. Mary'S Hospital of Richmond LLC Current Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

13700 St Francis Blvd
Ste 510
Midlothian, VA 23114
Phone (804) 423-8462

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

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

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

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Interoperability endpoints

  • Direct secure messaging: jport1154755@direct.bsmhealth.org

Organizations & group practices 8

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1912936154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 510",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143223",
            "telephone_number": "804-423-8470",
            "fax_number": "804-423-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 510",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-423-8470",
            "fax_number": "804-423-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06695",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.