Active NPI
Abu A Qutubuddin, M.D.
- Physical Medicine & Rehabilitation Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0101234021
- Practice address
- 401 College St
Richmond, VA 23298-5017 - Phone
- (804) 828-7999
- NPI assigned
- Jun 20, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101234021 | VA | Primary |
Addresses
Primary practice location
401 College St
Richmond, VA 23298-5017
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10072921 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234021 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| Sheltering Arms Hospital South, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
401 College St
Richmond, VA 23298
Phone (804) 828-7232
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
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.
-
- Rehabilitation Hospital
- Midlothian, VA
- NPI 1881631943
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962448886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 COLLEGE ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985017",
"telephone_number": "804-828-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUTUBUDDIN",
"first_name": "ABU",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101234021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10072921",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.