Individual provider Active NPI

Phoebe Oguda Dacha, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Richmond, VA
National Provider Identifier
1922341999
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
9619 Quioccasin Rd
Richmond, VA 23238-4524
Phone
(804) 396-8566
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 324986-01 NY
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

9619 Quioccasin Rd
Richmond, VA 23238-4524

Mailing address

9619 Quioccasin Rd
Richmond, VA 23238-4524
Phone (804) 396-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
324986-01NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Marie CurrentSince Apr 6, 2025 Accepting new patients
Anna Marie CurrentSince Apr 6, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1922341999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 QUIOCCASIN RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384524",
            "telephone_number": "804-396-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9619 QUIOCCASIN RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384524",
            "telephone_number": "804-396-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACHA",
        "first_name": "PHOEBE",
        "middle_name": "OGUDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "324986-01",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.