Individual provider Active NPI

Stella Bridget Tabassian, MD

  • Anesthesiology Physician
  • Richmond, VA
National Provider Identifier
1942293766
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101058797 Issued in VA
Practice address
8700 Stony Point Pkwy
Suite 100
Richmond, VA 23235-1962
Phone
(804) 775-4500
Fax
(804) 545-1632
NPI assigned
Aug 26, 2005
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101058797 VA Primary

Addresses

Primary practice location

8700 Stony Point Pkwy
Suite 100
Richmond, VA 23235-1962

Mailing address

8700 Stony Point Pkwy
Suite 100
Richmond, VA 23235-1962
Phone (804) 775-4500

Other practice location 1

1630 Wilkes Ridge Pkwy Ste 101
Richmond, VA 23233-7410
Phone (804) 775-4500

Other identifiers 1

IdentifierTypeStateIssuer
010156661MedicaidVA

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
I20041208000529 VA Practitioner - Anesthesiology 2062478332 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101058797VAMDAnesthesiology Physician

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

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1942293766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 STONY POINT PKWY",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351962",
            "telephone_number": "804-775-4500",
            "fax_number": "804-545-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 STONY POINT PKWY",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351962",
            "telephone_number": "804-775-4500",
            "fax_number": "804-545-1632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Wilkes Ridge Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232337410",
            "country_code": "US",
            "telephone_number": "804-775-4500",
            "fax_number": "804-545-0758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABASSIAN",
        "first_name": "STELLA",
        "middle_name": "BRIDGET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101058797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010156661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.