AVENUES DERMATOLOGY PLLC
NPI 1699893388
Point of Service in Richmond, VA

Active since March 27, 2007
420 LIBBIE AVE, RICHMOND, VA 23226(804) 288-4410(804) 288-4458 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Avenues Dermatology Pllc NPPES

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

AVENUES DERMATOLOGY PLLC (NPI 1699893388) is a healthcare organization registered as a point of service in Richmond, Virginia and active in the NPI registry since March 2007. The organization lists Laura S Phieffer, Owner, as its authorized official.

NPPES Registry Identity

NPI1699893388
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameAVENUES DERMATOLOGY PLLC
Location Address420 LIBBIE AVERichmond, VA 23226-2616
Mailing Address420 Libbie AveRichmond, VA 23226-2616 · (804) 288-4410 · Fax (804) 288-4458
Fax(804) 288-4458
Organization SubpartNo
Authorized OfficialLaura S PhiefferOwner · (804) 288-4410
Enumeration DateMarch 27, 2007
Last NPPES UpdateOctober 25, 2013
✔ NPI 1699893388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in VA · 0101059025
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
420 LIBBIE AVE, Richmond, VA 23226

Other Identifiers 6

Other7229207VA · Non-hmo
Other187989VA · Anthem
Other1229850VA · Hmo
Medicare PINC09798VA
Medicare PINDE6352VA
Medicare UPINH33179VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avenues Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Avenues Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1508934423
420 LIBBIE AVENUE
Richmond, VA 23226
(804) 288-4410
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285110726
201 WADSWORTH DR
North Chesterfield, VA 23236
(804) 285-8206
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1306320759
1300 WILKES RIDGE DR STE 200
Richmond, VA 23233
(804) 326-4448
✔ PECOS✔ Accepts Medicare9.4 mi

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 Avenues Dermatology PLLC's NPI number?

The NPI number for Avenues Dermatology PLLC is 1699893388. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Avenues Dermatology PLLC located?

Avenues Dermatology PLLC is located at 420 Libbie Ave, Richmond, VA 23226. The listed phone number is (804) 288-4410.

What is Avenues Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Avenues Dermatology PLLC enrolled in Medicare?

Yes. Avenues Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avenues Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Avenues Dermatology PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 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 Avenues Dermatology PLLC was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.