Individual provider Active NPI

Mark D Niehaus, MD

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1972541548
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101234414 Issued in VA
Practice address
416 Albemarle SQ
Charlottesville, VA 22901-7400
Phone
(434) 422-1919
Fax
(434) 402-4510
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101234414 VA
Internal Medicine Physician 207R00000X 0101234414 VA Primary

Addresses

Primary practice location

416 Albemarle SQ
Charlottesville, VA 22901-7400

Mailing address

406 Albemarle SQ
Charlottesville, VA 22901-7400
Phone (434) 422-1919

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
I20080229000465 VA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6901980820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Warren Alpert Medical School of Brown University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1646 Park Ridge Dr
Crozet, VA 22932-3155
Phone (434) 654-2760

540 Belvedere Blvd
Suite 100
Charlottesville, VA 22901-3215
Phone (434) 654-2830

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Continuum Home Health Care Home health agency, Charlottesville, VA, CCN 497490
  • Sentara Home Care Services Home health agency, Charlottesville, VA, CCN 497019
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Nov 25, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 25, 2024 Accepting new patients
Martha Jefferson Medical Group LLC Internal Medicine CurrentSince Aug 5, 2019 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Martha Jefferson Hospital PastSince Aug 1, 2023 Accepting new patients

Locations

406 Albemarle Sq
Charlottesville, VA 22901
Phone (434) 321-5257

540 Belvedere Blvd
#100
Charlottesville, VA 22901
Phone (434) 654-2830

416 Albemarle Sq
Charlottesvle, VA 22901
Phone (434) 220-0021

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: admin@albemarlesquare.e-mdsdirect.com
  • Direct secure messaging: mniehaus256292@direct.sentara.net
  • Direct secure messaging: mark.niehaus.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1972541548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017400",
            "telephone_number": "434-422-1919",
            "fax_number": "434-202-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017400",
            "telephone_number": "434-422-1919",
            "fax_number": "434-402-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHAUS",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101234414",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101234414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.