BON SECOURS ASSOCIATED INTERNISTS
NPI 1417255365
Internal Medicine in Richmond, VA

Q: What is Bon Secours St Mary's Hospital Of Richmond LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 02, 2011

7001 FOREST AVE, SUITE 405, RICHMOND, VA 23230(804) 288-3079(804) 282-6159 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2020, Aug 30, 2019, Oct 24, 2018 (3 updates tracked since 2018).

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About Bon Secours Associated Internists NPPES

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

BON SECOURS ASSOCIATED INTERNISTS (NPI 1417255365) is a healthcare organization registered as an internal medicine in Richmond, Virginia and active in the NPI registry since March 2011. The organization lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417255365

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC

Location Address7001 FOREST AVE, SUITE 405Richmond, VA 23230-1726

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896

Phone(804) 288-3079

Fax(804) 282-6159

Organization SubpartNo

Authorized OfficialWilbur GayCfo · (864) 561-7672

Enumeration DateMarch 2, 2011

Last NPPES UpdateSeptember 4, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2020

✔ NPI 1417255365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7001 FOREST AVE, Richmond, VA 23230

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Other Names 1

Doing Business AsBon Secours Associated Internists

Other Identifiers 1

OtherC06778VA · Group Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bon Secours Associated Internists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

163

Medicare enrollment records show 163 clinicians reassign Medicare billing to Bon Secours Associated Internists, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 84 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner46

Internal Medicine25

Obstetrics/Gynecology23

Family Practice16

Cardiovascular Disease (Cardiology)15

Hospice/Palliative Care6

Interventional Cardiology4

General Surgery3

16 other specialties25

Nearest to this location (20)

See all 163

Tami Fountain-Ellis, M.D.

Family Practice

NPI 1467424853

7001 FOREST AVE STE 302
Richmond, VA 23230

(804) 282-2655

✔ PECOS✔ Accepts MedicareSame address

Samantha Huff, FNP-C

Nurse Practitioner

NPI 1093552341

7001 FOREST AVE STE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Meredith Mcdonald, MD

Internal Medicine

NPI 1003471954

7001 FOREST AVE STE 2500
Richmond, VA 23230

(804) 282-7857

✔ PECOS✔ Accepts MedicareSame address

Nathaniel Moyar, AGACNP

Nurse Practitioner

NPI 1669203774

7001 FOREST AVE STE 200
Richmond, VA 23230

(434) 738-8174

✔ PECOS✔ Accepts MedicareSame address

Charles Nelson, MD

Cardiovascular Disease (Cardiology)

NPI 1639194913

7001 FOREST AVE SUITE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Matthew Ngo, MD.

Cardiac Electrophysiology

NPI 1912060609

7001 FOREST AVE SUITE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Nimesh Patel, M.D

Cardiovascular Disease (Cardiology)

NPI 1538493754

7001 FOREST AVE STE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Vipal Sabharwal, MD

Cardiovascular Disease (Cardiology)

NPI 1124051628

7001 FOREST AVE SUITE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Jennifer Schwenk, M.D.

Internal Medicine

NPI 1346635182

7001 FOREST AVE STE 2500
Richmond, VA 23230

(804) 282-7857

✔ PECOS✔ Accepts MedicareSame address

Matthew Sturm, MD

Internal Medicine

NPI 1669055141

7001 FOREST AVE STE 2500
Richmond, VA 23230

(804) 282-7857

✔ PECOS✔ Accepts MedicareSame address

Michael Wittkamp, MD

Cardiovascular Disease (Cardiology)

NPI 1154334241

7001 FOREST AVE STE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Samuel Wu, M.D.

Cardiovascular Disease (Cardiology)

NPI 1184845760

7001 FOREST AVE SUITE 100
Richmond, VA 23230

(804) 288-0808

✔ PECOS✔ Accepts MedicareSame address

Brittany Ash, AGACNP-BC

Nurse Practitioner

NPI 1942085246

7001 FOREST AVE STE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Jaime Cunningham, FNP

Nurse Practitioner

NPI 1285053678

7001 FOREST AVE STE 2500
Richmond, VA 23230

(804) 282-7857

✔ PECOS✔ Accepts MedicareSame address

Kathleen Taylor, NURSE PRACTITIONER

Nurse Practitioner

NPI 1649908989

7001 FOREST AVE STE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

Katherine Diefenderfer, NP

Nurse Practitioner

NPI 1730263807

7001 FOREST AVE SUITE 100
Richmond, VA 23230

(804) 288-0808

✔ PECOSSame address

Robin Disler, MD

Internal Medicine

NPI 1366404493

7001 FOREST AVE SUITE 2500
Richmond, VA 23230

(804) 282-7857

✔ PECOSSame address

Christopher Hayes, MD, MS

Internal Medicine

NPI 1578770756

7001 FOREST AVE
Richmond, VA 23230

(804) 282-7857

✔ PECOS✔ Accepts MedicareSame address

Sidney Jones, MD

Internal Medicine

NPI 1316909112

7001 FOREST AVE STE. 2500
Richmond, VA 23230

(804) 282-7857

✔ PECOS✔ Accepts MedicareSame address

Massimo Giusti, MD

Cardiovascular Disease (Cardiology)

NPI 1720011398

7001 FOREST AVE SUITE 200
Richmond, VA 23230

(804) 288-3123

✔ PECOS✔ Accepts MedicareSame address

See all 163 clinicians

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 Bon Secours St Mary's Hospital Of Richmond LLC's NPI number?

The NPI number for Bon Secours St Mary's Hospital Of Richmond LLC is 1417255365. It was assigned to this organization in the NPPES registry on March 2, 2011. The provider is doing business as Bon Secours Associated Internists.

Where is Bon Secours St Mary's Hospital Of Richmond LLC located?

Bon Secours St Mary's Hospital Of Richmond LLC is located at 7001 Forest Ave Suite 405, Richmond, VA 23230. The listed phone number is (804) 288-3079.

What is Bon Secours St Mary's Hospital Of Richmond LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bon Secours St Mary's Hospital Of Richmond LLC enrolled in Medicare?

Yes. Bon Secours St Mary's Hospital Of Richmond LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bon Secours St Mary's Hospital Of Richmond LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 163 clinicians in 24 Medicare specialties reassign their Medicare billing to Bon Secours St Mary's Hospital Of Richmond LLC. 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 Nurse Practitioner (46), Internal Medicine (25) and Obstetrics/Gynecology (23). Of these, 22 practice at this address and 84 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 Bon Secours St Mary's Hospital Of Richmond LLC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.