NPIMap

Individual provider Active NPI

Samantha Hastillo Hess Hudson, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Midlothian, VA
National Provider Identifier
1922205475
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101247461 Issued in VA
Practice address
2384 Colony Crossing PL
Midlothian, VA 23112-4280
Phone
(804) 423-3636
Fax
(804) 423-3637
NPI assigned
Jun 28, 2007
Last updated
Jun 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116019259 VA
Internal Medicine Physician 207R00000X 0101247461 VA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101247461 VA Primary

Addresses

Primary practice location

2384 Colony Crossing PL
Midlothian, VA 23112-4280

Mailing address

2384 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 423-3636

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
I20100920000888 VA Practitioner - Internal MedicinePractitioner - Endocrinology 0042335630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Virginia Commonwealth University, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Endocrinology and Osteoporosis CenterGroup PAC ID 1052377934, 15 clinicians

Practice addresses (Care Compare)

2384 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 423-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.87 of 100Reported as group
Quality
81.19
Promoting interoperability
98
Improvement activities
40
Cost
76.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101247461VAMDEndocrinology, Diabetes & Metabolism Physician
0116019259VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Endocrinology and Osteoporosis Center CurrentSince Oct 1, 2013 Accepting new patients

Locations

5201 Hickory Park Dr
Glen Allen, VA 23059

5207 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 326-4448

13700 St Francis Blvd
Ste 505
Midlothian, VA 23114
Phone (804) 423-3636

2384 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 423-3636

3460 Mayland Ct
Ste 100
Richmond, VA 23233
Phone (804) 346-3077

Interoperability endpoints

  • Direct secure messaging: samantha.hudson@veoc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1922205475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-423-3636",
            "fax_number": "804-423-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 COLONY CROSSING PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124280",
            "telephone_number": "804-423-3636",
            "fax_number": "804-423-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SAMANTHA",
        "middle_name": "HASTILLO HESS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019259",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101247461",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101247461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.