1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Obstetrics Gynecology
  6. NPI Profile

ANITA MONIQUE MADISON M.D.
NPI 1275987406
Obstetrics & Gynecology - Reproductive Endocrinology in Richmond, VA

Active since April 13, 2016PECOS Enrolled
9109 STONY POINT DR, RICHMOND, VA 23235(804) 327-8820(804) 237-6637 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Oct 30, 2023, Sep 24, 2020 (3 updates tracked since 2020).

About Anita Monique Madison M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANITA MONIQUE MADISON M.D. (NPI 1275987406) is an individual reproductive endocrinology provider in Richmond, Virginia, licensed in Virginia (0101290338) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1275987406
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameANITA MONIQUE MADISONCredential: M.D.
Location Address9109 STONY POINT DRRichmond, VA 23235-1979
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Phone(804) 327-8820
Fax(804) 237-6637
Sole ProprietorNo
Enumeration DateApril 13, 2016
Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1275987406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in VA · 0101290338
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 324168 (LA), 0101290338 (VA), D93782 (MD)
9109 STONY POINT DR, Richmond, VA 23235
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-4409 · Fax (804) 806-7835
Location 211958 W Broad StHenrico, VA 23233-1007 · Phone (804) 364-1007 · Fax (804) 364-1019
Location 32821 Michaelangelo Dr, Suite 400Edinburg, TX 78539-1404 · Phone (956) 362-3590
Location 4600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anita Monique Madison M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Anita Madison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
103 mi
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1578569240 (410) 955-5000
Lsuhn Billing LLC
919 mi
Oral and Maxillofacial Surgery
7777 HENNESSY BLVD STE 306
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 548 clinicians in this Medicare group
NPI 1306247556 (225) 763-3939

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY HALL RD
Dietitian, Registered
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 827-0045
MORGAN PATRICK ZIMMERLEE NP
Nurse Practitioner (Family)
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 327-8001
BETHANY R. ROSE AUD
Audiologist
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 828-0431
DR. NICOLE ELIZABETH KIEFER WIEGHARD MD
Surgery
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 327-8001
MRS. ADDISON JOHNSON TAYLOR PA-C
Physician Assistant
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 827-0049
MRS. HANNAH FOCKLER PA-C, MPH
Physician Assistant
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 560-8919
DR. ALLISON KATHLEEN CINATS MD
Dermatology
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 560-8919
JAIME LYNNE BOHL MD
Colon & Rectal Surgery
9109 STONY POINT DR
RICHMOND, VA 23235
Chesterfield County (804) 327-8001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anita Madison's NPI number?

The NPI number for Anita Madison is 1275987406. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Anita Madison located?

Anita Madison practices at 9109 Stony Point Dr, Richmond, VA 23235. The listed phone number is (804) 327-8820.

What is Anita Madison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Anita Madison enrolled in Medicare?

Yes. Anita Madison is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anita Madison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anita Madison reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Bethesda, MD) and Lsuhn Billing LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anita Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anita Madison accept?

Health plans from Oscar Health list Anita Madison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anita Madison was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.