RIVERSIDE PRIMARY CARE KILN CREEK
NPI 1467962662
Family Medicine in Yorktown, VA

NPI Status: Active since October 03, 2017

Contact Information

209 VILLAGE AVE STE P
YORKTOWN, VA
ZIP 23693
Phone: (757) 316-5050

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  • Organization
  • Family Medicine
  • CLIA Number: 49D2139638
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-05-2027

About RIVERSIDE PRIMARY CARE KILN CREEK

This page provides the complete NPI Profile along with additional information for Riverside Primary Care Kiln Creek, a primary care provider established in Yorktown, Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1467962662 assigned on October 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Riverside Primary Care Kiln Creek operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Riverside Primary Care Kiln Creek. The authorized official of this NPI record is Braden Miller (Cfo)

NPI
1467962662
Provider Legal Name
RIVERSIDE PHYSICIAN SERVICES INC
Other Organization Name
RIVERSIDE PRIMARY CARE KILN CREEK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
209 VILLAGE AVE STE P YORKTOWN, VA 23693
Location Phone
(757) 316-5050
Mailing Address
856 J CLYDE MORRIS BLVD STE A NEWPORT NEWS, VA 23601
Mailing Phone
(757) 316-5900
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-03-2017
Last Update Date
10-03-2017
Code Navigator

A primary care provider (PCP) like Riverside Primary Care Kiln Creek sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 07-02-1986 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRADEN MILLER

Authorized Official Title
CFO
Authorized Official Phone
(757) 316-5900

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • RIVERSIDE PRIMARY CARE KILN CREEK has an ownership type of Non-profit
  • The facility received it's medicare certification date on 07-02-1986
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions264
Brain disease or condition (non-traumatic)60
Brain injury (traumatic)37
Hip or femur fracture123
Hip or knee replacement, amputation or other bone or joint condition178
Nervous system disorder (excluding stroke)41
Spinal cord disease or condition (non-traumatic)53
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke195

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2139638
Facility Type
Physician Office
Certificate Effective Date
November 06, 2025
Certificate Expiration Date
November 05, 2027
Laboratory Director
LAURA E. MCALEER-LEAVEY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Riverside Primary Care Kiln Creek in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467962662, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 8 + 6 + 4 + 6 + 1 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1467962662.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
209 VILLAGE AVE STE P
YORKTOWN, VA 23693
Family Medicine
209 VILLAGE AVE STE P
YORKTOWN, VA 23693
Nurse Practitioner (Family)
209 VILLAGE AVE STE P
YORKTOWN, VA 23693
Physician Assistant
209 VILLAGE AVE STE P
YORKTOWN, VA 23693
Nurse Practitioner (Family)
209 VILLAGE AVE STE P
YORKTOWN, VA 23693
Family Medicine
209 VILLAGE AVE STE P
YORKTOWN, VA 23693

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467962662, enumerated as an "organization" on October 03, 2017.

The provider is located at 209 VILLAGE AVE STE P YORKTOWN, VA 23693 and the phone number is (757) 316-5050.

Family Medicine with taxonomy code 207Q00000X.