DOMINION HEALTH MEDICAL ASSOC
NPI 1356138879
Internal Medicine - Cardiovascular Disease in South Boston, VA
About Dominion Health Medical Assoc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINION HEALTH MEDICAL ASSOC (NPI 1356138879), doing business as Sentara Cardiology Specialists, is a healthcare organization registered as a cardiovascular disease in South Boston, Virginia and active in the NPI registry since April 2025. The organization lists Cecil Hazelwood, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominion Health Medical Assoc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Dominion Health Medical Assoc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 82South Boston, VA 24592
South Boston, VA 24592
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dominion Health Medical Assoc's NPI number?
The NPI number for Dominion Health Medical Assoc is 1356138879. It was assigned to this organization in the NPPES registry on April 21, 2025. The provider is doing business as Sentara Cardiology Specialists.
Where is Dominion Health Medical Assoc located?
Dominion Health Medical Assoc is located at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3250.
What is Dominion Health Medical Assoc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Dominion Health Medical Assoc enrolled in Medicare?
Yes. Dominion Health Medical Assoc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dominion Health Medical Assoc?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 17 Medicare specialties reassign their Medicare billing to Dominion Health Medical Assoc. A 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 the clinician's services. The largest specialties are General Surgery (24), Nurse Practitioner (13) and Orthopedic Surgery (10). Of these, 3 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dominion Health Medical Assoc was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dominion Health Medical Assoc · NPI 1356138879
Cardiovascular Disease organization in South Boston, Virginia. Organization record, active in the CMS NPPES registry since April 21, 2025.
## Identity
- **NPI:** 1356138879 (Entity type: Organization)
- **Enumerated:** April 21, 2025
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Also known as:** Sentara Cardiology Specialists (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cecil Hazelwood, DIRECTOR
## Practice location
- **Address:** 2204 WILBORN AVE, South Boston, VA 24592-1645
- **Phone:** (434) 517-3250 · **Fax:** (434) 514-3934
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 82 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (24), Nurse Practitioner (13), Orthopedic Surgery (10); 3 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1356138879/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356138879) · Data from the CMS NPPES public registry.