DR. DEMETRIA YVETTE AUSTIN (M.D.) – Internal Medicine Physician, NPI 1093700445

DR. DEMETRIA YVETTE AUSTIN (M.D.) is a healthcare provider. based in Petersburg, Virginia. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 2003-00442 (NC). The NPI Number for DR. DEMETRIA YVETTE AUSTIN (M.D.) is 1093700445

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEMETRIA YVETTE AUSTIN (M.D.)
NPI
1093700445
Phone
(240) 686-3300
Address
200 Medical Park Blvd
Enumeration Date
13 September 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7575588210
Graduation Year
2000 (26 years ago)
PAC ID
0749312767
Group Practice PAC ID
5597664201
Professional Enrollment ID
I20140111000108
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. DEMETRIA YVETTE AUSTIN (M.D.)

  • 200 Medical Park Blvd

    Petersburg, VA 238059274

    Phone: (240) 686-3300

    Type: Location

  • Sentara Obici Hospital, 2800, Godwin Boulevard, Suffolk, Virginia, 23434, United States

    SUFFOLK, VA 234348038

    Phone: (757) 967-8622

    Fax: (757) 686-0541

    Type: Location

  • 2555 Court Dr

    Suite 270

    Gastonia, NC 280542134

    Phone: (704) 671-7650

    Fax: (704) 671-7678

    Type: Location

  • 3241 WESTERN BRANCH BLVD STE A

    CHESAPEAKE, VA 233215260

    Phone: (757) 686-3508

    Fax: (757) 686-0541

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100709000319IInternal MedicineNCTBD
I20140111000108IHospitalistVATBD
I20210301002191IInternal MedicineFLTBD
I20220322001566IInternal MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597664201View full group profile
NameSpecialtyState
E N D O C R I N O L O G YVA
Internal MedicineVA
-VA
Internal MedicineVA
-NE
-VA
Endocrinology, Internal MedicineVA
Hospitalist, Family PracticeVA
-VA
-VA

Reviews

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Frequently asked questions

How do payers reference DR. DEMETRIA YVETTE AUSTIN (M.D.)?
For DR. DEMETRIA YVETTE AUSTIN (M.D.), use NPI 1093700445 as the unique 10-digit identifier.
Is there an active status for DR. DEMETRIA YVETTE AUSTIN (M.D.)?
For scheduling context, DR. DEMETRIA YVETTE AUSTIN (M.D.) is shown as active in the registry.
What kind of doctor is DR. DEMETRIA YVETTE AUSTIN (M.D.)?
DR. DEMETRIA YVETTE AUSTIN (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DEMETRIA YVETTE AUSTIN (M.D.)?
Travel planning: use Petersburg, Virginia as the reference point for DR. DEMETRIA YVETTE AUSTIN (M.D.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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