YILMA A FENTA
NPI 1811280340
Family Medicine in Newport News, VA

Q: What is Yilma Fenta's NPI number?

The NPI number for Yilma Fenta is 1811280340. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Q: What is Yilma Fenta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yilma Fenta was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment

10510 JEFFERSON AVE STE A, RIVERSIDE FAMILY MEDICINE, NEWPORT NEWS, VA 23601(757) 594-3800(757) 594-3818 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2022, Jun 29, 2021 (2 updates tracked since 2021).

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About Yilma A Fenta NPPES

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

YILMA A FENTA (NPI 1811280340) is an individual family medicine provider in Newport News, Virginia, licensed in Virginia (0116023312) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1811280340

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameYILMA A FENTA

Location Address10510 JEFFERSON AVE STE A, RIVERSIDE FAMILY MEDICINENewport News, VA 23601-3102

Mailing Address10510 Jefferson Ave Ste A, Riverside Family MedicineNewport News, VA 23601-3102 · (757) 594-3800 · Fax (757) 594-3818

Phone(757) 594-3800

Fax(757) 594-3818

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateMay 17, 2011

Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1811280340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0116023312

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.

10510 JEFFERSON AVE STE A, Newport News, VA 23601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yilma A Fenta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769603828

PECOS Enrollment IDI20141015001024

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Yilma Fenta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

125 mi

Health Maintenance Organization

5100 AUTH WAY
Suitland, MD 20746

Reassigned Medicare billing, District of Columbia enrollment
2,492 clinicians in this Medicare group

NPI 1730200965 (301) 702-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL JASON FRASCA D.O.

Family Medicine