CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE
NPI 1881795557
Specialist in Glen Allen, VA
About Crossridge Pediatrics & Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE (NPI 1881795557) is a healthcare organization registered as a specialist in Glen Allen, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Wilbur Gay, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crossridge Pediatrics & Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Crossridge Pediatrics & Internal Medicine, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (20)
Mechanicsville, VA 23116
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 49D1062557
Crossridge Pediatrics And Internal Medicine · Glen Allen, VAFrequently 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 Memorial Regional Medical Center LLC's NPI number?
The NPI number for Bon Secours Memorial Regional Medical Center LLC is 1881795557. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Crossridge Pediatrics & Internal Medicine.
Where is Bon Secours Memorial Regional Medical Center LLC located?
Bon Secours Memorial Regional Medical Center LLC is located at 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060. The listed phone number is (804) 755-7581.
What is Bon Secours Memorial Regional Medical Center LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Bon Secours Memorial Regional Medical Center LLC enrolled in Medicare?
Yes. Bon Secours Memorial Regional Medical Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bon Secours Memorial Regional Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Bon Secours Memorial Regional Medical Center 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 Family Practice (6), Nurse Practitioner (6) and Cardiovascular Disease (Cardiology) (4). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bon Secours Memorial Regional Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D1062557) is associated with this NPI, valid through December 17, 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 Bon Secours Memorial Regional Medical Center LLC was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Crossridge Pediatrics & Internal Medicine · NPI 1881795557
Specialist organization in Glen Allen, Virginia. Organization record, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1881795557 (Entity type: Organization)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Bon Secours Memorial Regional Medical Center Llc
- **Organization subpart:** No
- **Authorized official:** Wilbur Gay, CFO
## Practice location
- **Address:** 10150 STAPLES MILL RD STE C, Glen Allen, VA 23060-3452
- **Phone:** (804) 755-7581 · **Fax:** (804) 755-7586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (4); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1881795557) · Data from the CMS NPPES public registry.