MEDARVA PHYSICIAN SERVICES LLC
NPI 1962768051
Podiatrist in Petersburg, VA
About Medarva Physician Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDARVA PHYSICIAN SERVICES LLC (NPI 1962768051), doing business as Medrva Physician Services, is a healthcare organization registered as a podiatrist in Petersburg, Virginia and active in the NPI registry since April 2012. The organization maintains a secondary practice location in Chester and lists Tonya Jenkins, Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 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)
Medarva Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Medarva Physician Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Medarva Physician Services LLC's NPI number?
The NPI number for Medarva Physician Services LLC is 1962768051. It was assigned to this organization in the NPPES registry on April 3, 2012. The provider is doing business as Medrva Physician Services.
Where is Medarva Physician Services LLC located?
Medarva Physician Services LLC is located at 40 Medical Park Blvd Ste A, Petersburg, VA 23805. The listed phone number is (804) 775-4500.
What is Medarva Physician Services LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Medarva Physician Services LLC enrolled in Medicare?
Yes. Medarva Physician Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medarva Physician Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Medarva Physician Services 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. Of these, 1 practice at this address and 2 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 Medarva Physician Services LLC was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Medarva Physician Services Llc · NPI 1962768051
Podiatrist organization in Petersburg, Virginia. Organization record, active in the CMS NPPES registry since April 3, 2012.
## Identity
- **NPI:** 1962768051 (Entity type: Organization)
- **Enumerated:** April 3, 2012
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Also known as:** MEDRVA PHYSICIAN SERVICES (Doing Business As)
- **Organization subpart:** Yes (part of Richmond Eye And Ear Healthcare Alliance)
- **Authorized official:** Tonya Jenkins, VP
## Practice location
- **Address:** 40 MEDICAL PARK BLVD STE A, Petersburg, VA 23805-9289
- **Phone:** (804) 775-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962768051) · Data from the CMS NPPES public registry.