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PATTERSON AVENUE FAMILY PRACTICE
NPI 1780961029
Family Medicine in Richmond, VA

Active since November 15, 2011
9600 PATTERSON AVE, RICHMOND, VA 23229(804) 741-6200(804) 741-6213 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2021, Aug 30, 2019, Oct 24, 2018 (3 updates tracked since 2018).

About Patterson Avenue Family Practice NPPES

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

PATTERSON AVENUE FAMILY PRACTICE (NPI 1780961029) is a healthcare organization registered as a family medicine in Richmond, Virginia and active in the NPI registry since November 2011. The organization lists Kimberly M Ralston, System Director, as its authorized official.

NPPES Registry Identity

NPI1780961029
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Location Address9600 PATTERSON AVERichmond, VA 23229-6053
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896
Phone(804) 741-6200
Fax(804) 741-6213
Organization SubpartNo
Authorized OfficialKimberly M RalstonSystem Director · (419) 996-5119
Enumeration DateNovember 15, 2011
Last NPPES UpdateOctober 5, 20213 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1780961029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
9600 PATTERSON AVE, Richmond, VA 23229
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Other Names 1

Doing Business AsPatterson Avenue Family Practice

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)

Patterson Avenue Family Practice 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 Patterson Avenue Family Practice, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 96 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
Mark Barr, M.D.
Family Practice
NPI 1962473371
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOSSame address
Samantha Bishop, NP-BC
Nurse Practitioner
NPI 1770255408
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOSSame address
Haroon Hyder, M.D.
Family Practice
NPI 1740470483
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOS✔ Accepts MedicareSame address
Aivi Masterson, M.D.
Family Practice
NPI 1891138467
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOS✔ Accepts MedicareSame address
Joseph Tuck, MD
Family Practice
NPI 1922672039
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOS✔ Accepts MedicareSame address
Mary Holsinger, APRN
Nurse Practitioner
NPI 1649604232
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOS✔ Accepts MedicareSame address
Carolyn Moncure, NP
Nurse Practitioner
NPI 1215903497
9600 PATTERSON AVE
Richmond, VA 23229
(804) 741-6200
✔ PECOS✔ Accepts MedicareSame address
Kathryn Johnston, FNP-BC
Nurse Practitioner
NPI 1316295694
2300 CEDARFIELD PKWY
Richmond, VA 23233
(804) 474-8870
✔ PECOS✔ Accepts Medicare2.4 mi
Tami Fountain-Ellis, M.D.
Family Practice
NPI 1467424853
7001 FOREST AVE STE 302
Richmond, VA 23230
(804) 282-2655
✔ PECOS✔ Accepts Medicare3.6 mi
Meredith Mcdonald, MD
Internal Medicine
NPI 1003471954
7001 FOREST AVE STE 2500
Richmond, VA 23230
(804) 282-7857
✔ PECOS✔ Accepts Medicare3.6 mi
Charles Nelson, MD
Cardiovascular Disease (Cardiology)
NPI 1639194913
7001 FOREST AVE SUITE 200
Richmond, VA 23230
(804) 288-3123
✔ PECOS✔ Accepts Medicare3.6 mi
Matthew Ngo, MD.
Cardiac Electrophysiology
NPI 1912060609
7001 FOREST AVE SUITE 200
Richmond, VA 23230
(804) 288-3123
✔ PECOS✔ Accepts Medicare3.6 mi
William Piscitelli, D.D.S.
Oral Surgery
NPI 1891718557
6900 FOREST AVE SUITE 110
Richmond, VA 23230
(804) 893-8715
✔ PECOS3.9 mi
Mark Bladergroen, M.D.
Cardiac Surgery
NPI 1124058342
5875 BREMO RD SUITE G-5
Richmond, VA 23226
(804) 287-7840
✔ PECOS✔ Accepts Medicare4.4 mi
Elna Kochummen, M.D
Endocrinology
NPI 1710147988
5875 BREMO RD
Richmond, VA 23226
(804) 287-7322
✔ PECOS4.4 mi
Paul Wehman, M.D.
Thoracic Surgery
NPI 1639483209
5875 BREMO RD STE 400B
Richmond, VA 23226
(804) 287-7840
✔ PECOS✔ Accepts Medicare4.4 mi
Alice Hirata, M.D.
Obstetrics/Gynecology
NPI 1760466684
5875 BREMO RD SUITE 400
Richmond, VA 23226
(804) 288-4084
✔ PECOS4.4 mi
Carl Rountree, MD
Pediatric Medicine
NPI 1821291303
5875 BREMO RD SUITE 303
Richmond, VA 23226
(804) 893-8610
✔ PECOS✔ Accepts Medicare4.4 mi
Cara Jennings, MD
Physical Medicine and Rehabilitation
NPI 1174783716
5855 BREMO RD SUITE 509
Richmond, VA 23226
(804) 288-2673
✔ PECOS✔ Accepts Medicare4.4 mi
Mary Lucchesi, M.D.
Hospice/Palliative Care
NPI 1134353220
5855 BREMO RD SUITE 207
Richmond, VA 23226
(804) 288-3079
✔ PECOS✔ Accepts Medicare4.4 mi
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 1780961029. It was assigned to this organization in the NPPES registry on November 15, 2011. The provider is doing business as Patterson Avenue Family Practice.

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

Bon Secours St Mary's Hospital Of Richmond LLC is located at 9600 Patterson Ave, Richmond, VA 23229. The listed phone number is (804) 741-6200.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 7 practice at this address and 96 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 October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.