NPIMap

Individual provider Active NPI

Meles Zereadawit Fanta, MD

  • Hospitalist Physician
  • Richmond, VA
National Provider Identifier
1932735271
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101276942 Issued in VA
Practice address
1602 Skipwith Rd
Richmond, VA 23229-5298
Phone
(804) 289-4500
NPI assigned
Mar 18, 2020
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101276942 VA
Hospitalist Physician 208M00000X 0101276942 VA Primary

Addresses

Primary practice location

1602 Skipwith Rd
Richmond, VA 23229-5298

Mailing address

1107 Broad Hill Trce
Henrico, VA 23233-7852
Phone (404) 775-9502

Other practice location 1

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 380-0744

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
I20231003000105 VA Practitioner - Internal Medicine 5698077402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians
Vituity-Virginia Hospitalists PCGroup PAC ID 6507245131, 109 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101276942VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Virginia Hospitalists PC Hospitalist CurrentSince Feb 1, 2026 Accepting new patients
MCV Associated Physicians CurrentSince Oct 27, 2024 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Aug 20, 2023 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

Interoperability endpoints

  • Direct secure messaging: mfanta2030573@nychhc.direct-ci.com

Organizations & group practices 3

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1932735271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROAD HILL TRCE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337852",
            "telephone_number": "404-775-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 SKIPWITH RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295298",
            "telephone_number": "804-289-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605000",
            "country_code": "US",
            "telephone_number": "804-380-0744",
            "fax_number": "804-443-6051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANTA",
        "first_name": "MELES",
        "middle_name": "ZEREADAWIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101276942",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101276942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.