RIVERSIDE PRIMARY CARE MIDTOWN
NPI 1861414609
Clinic/Center - Primary Care in Williamsburg, VA

Active since July 24, 2006CLIA 49D2283026 · Waiver
301 COLLEGE ROW UNIT 9101, WILLIAMSBURG, VA 23185(757) 782-6200(757) 594-2195 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2023, May 25, 2023 (2 updates tracked since 2023).

About Riverside Primary Care Midtown NPPES

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

RIVERSIDE PRIMARY CARE MIDTOWN (NPI 1861414609) is a healthcare organization registered as a primary care in Williamsburg, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Braden Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1861414609
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC
Location Address301 COLLEGE ROW UNIT 9101Williamsburg, VA 23185-3694
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190
Fax(757) 594-2195
Organization SubpartYes
Authorized OfficialBraden MillerCfo · (757) 316-5906
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1861414609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
301 COLLEGE ROW UNIT 9101, Williamsburg, VA 23185

Other Names 1

Doing Business AsRiverside Primary Care Midtown

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Primary Care Midtown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,092

Medicare enrollment records show 1,092 clinicians reassign Medicare billing to Riverside Primary Care Midtown, which bills Medicare for the services they deliver. Of these, 77 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 55

Nurse Practitioner236
Emergency Medicine139
Hospitalist112
Family Practice71
Internal Medicine66
Neurology53
Cardiovascular Disease (Cardiology)32
Obstetrics/Gynecology32
47 other specialties351

Nearest to this location (20)

See all 1,092
Family Practice
NPI 1730611245
301 COLLEGE ROW UNIT 9101
Williamsburg, VA 23185
(757) 782-6200
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1962030304
301 COLLEGE ROW UNIT 9101
Williamsburg, VA 23185
(757) 782-6200
✔ PECOS✔ Accepts Medicare0.1 mi
Radiation Oncology
NPI 1053381251
3901 TREYBURN DR SUITE B
Williamsburg, VA 23185
(757) 220-4900
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1376089524
3901 TREYBURN DR STE B
Williamsburg, VA 23185
(757) 220-4900
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1437168507
240 GOOCH DRIVE
Williamsburg, VA 23185
(757) 221-4386
0.7 mi
Optometry
NPI 1114365129
101 TEWNING RD
Williamsburg, VA 23188
(757) 229-1131
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1801072368
5231 JOHN TYLER HWY
Williamsburg, VA 23185
(757) 220-8300
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1063753812
5231 JOHN TYLER HWY
Williamsburg, VA 23185
(757) 220-8300
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1588632574
5231 JOHN TYLER HWY
Williamsburg, VA 23185
(757) 220-8300
✔ PECOS✔ Accepts Medicare1.8 mi
Urology
NPI 1679918700
120 KINGS WAY STE 3200
Williamsburg, VA 23185
(757) 253-0051
✔ PECOS2.0 mi
Neurology
NPI 1053948760
120 KINGS WAY STE 2700
Williamsburg, VA 23185
(752) 221-0110
✔ PECOS✔ Accepts Medicare2.0 mi
Obstetrics/Gynecology
NPI 1326455221
120 KINGS WAY STE 3400
Williamsburg, VA 23185
(757) 253-5600
✔ PECOS✔ Accepts Medicare2.0 mi
Certified Nurse Midwife (CNM)
NPI 1053174177
120 KINGS WAY STE 3400
Williamsburg, VA 23185
(757) 253-5600
✔ PECOS✔ Accepts Medicare2.0 mi
Rheumatology
NPI 1154317378
120 KINGS WAY STE 2200
Williamsburg, VA 23185
(757) 645-3460
✔ PECOS✔ Accepts Medicare2.0 mi
Ophthalmology
NPI 1467439042
120 KINGS WAY SUITE 1300
Williamsburg, VA 23185
(757) 345-3001
✔ PECOS2.0 mi
Optometry
NPI 1629035225
120 KINGS WAY SUITE 1300
Williamsburg, VA 23185
(757) 345-3001
✔ PECOS✔ Accepts Medicare2.0 mi
Otolaryngology
NPI 1427019793
120 KINGS WAY SUITE 2900
Williamsburg, VA 23185
(757) 345-2600
✔ PECOS✔ Accepts Medicare2.0 mi
Pain Management
NPI 1205860533
120 KINGS WAY SUITE 2700
Williamsburg, VA 23185
(757) 221-0110
✔ PECOS✔ Accepts Medicare2.0 mi
Sports Medicine
NPI 1497075584
120 KINGS WAY STE 2800
Williamsburg, VA 23185
(757) 645-3775
✔ PECOS✔ Accepts Medicare2.0 mi
General Surgery
NPI 1932468295
120 KINGS WAY STE 2600
Williamsburg, VA 23185
(757) 345-0141
✔ PECOS✔ Accepts Medicare2.0 mi
See all 1,092 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2283026

Riverside Primary Care Midtown · Williamsburg, VA
Active · expires May 30, 2027
CLIA Number49D2283026
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorAmna Feroze
Laboratory Phone(757) 782-6200
Laboratory LocationRiverside Primary Care Midtown301 College Row, Suite 9101, Williamsburg, VA 23185
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Riverside Physician Services Inc's NPI number?

The NPI number for Riverside Physician Services Inc is 1861414609. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Riverside Primary Care Midtown.

Where is Riverside Physician Services Inc located?

Riverside Physician Services Inc is located at 301 College Row Unit 9101, Williamsburg, VA 23185. The listed phone number is (757) 782-6200.

What is Riverside Physician Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Riverside Physician Services Inc enrolled in Medicare?

Yes. Riverside Physician Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Physician Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,092 clinicians in 55 Medicare specialties reassign their Medicare billing to Riverside Physician Services Inc. 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 (236), Emergency Medicine (139) and Hospitalist (112). Of these, 77 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Riverside Physician Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2283026) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Physician Services Inc was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.