PEDIATRIX MEDICAL GROUP PC – Neonatal-Perinatal Medicine Physician, NPI 1205928587

PEDIATRIX MEDICAL GROUP PC is a healthcare provider. based in Glen allen, Virginia. specializing in Neonatal-Perinatal Medicine Physician. The NPI Number for PEDIATRIX MEDICAL GROUP PC is 1205928587

Main info

Organization
Name
PEDIATRIX MEDICAL GROUP PC
NPI
1205928587
Phone
(804) 346-3535
Address
4991 LAKE BROOK DR
Authorized Official
NICHOLAS E. GLASER ASSISTANT SECRETARY
Enumeration Date
28 September 2006
Last Update Date
24 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for PEDIATRIX MEDICAL GROUP PC

  • 4991 LAKE BROOK DR

    SUITE 300

    GLEN ALLEN, VA 230609293

    Phone: (804) 346-3535

    Fax: (804) 253-0408

    Type: Mailing

  • 1840 AMHERST ST FL 1

    WINCHESTER, VA 226012808

    Phone: (540) 536-8000

    Fax: (954) 851-1948

    Type: Location

  • 1301, Concord Terrace, Sunrise, Broward County, Florida, 33323, United States

    SUNRISE, FL 333232843

    Phone: (954) 384-0175

    Fax: (954) 851-1948

    Type: Location

  • PO BOX 100445

    ATLANTA, GA 303840445

    Phone: (954) 384-0175

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 23060)

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Frequently asked questions

What unique ID ties claims to PEDIATRIX MEDICAL GROUP PC?
NPI 1205928587 is assigned to PEDIATRIX MEDICAL GROUP PC under the national enumeration system.
Is PEDIATRIX MEDICAL GROUP PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PEDIATRIX MEDICAL GROUP PC's specialty in plain language?
Clinically, the directory lists PEDIATRIX MEDICAL GROUP PC with Neonatal-Perinatal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place PEDIATRIX MEDICAL GROUP PC?
The snapshot lists Glen Allen, Virginia for PEDIATRIX MEDICAL GROUP PC; download NPPES for the complete set.
Is PEDIATRIX MEDICAL GROUP PC a real provider?
This page reflects official NPPES data for NPI 1205928587. Always confirm identity and privileges with the practice and licensing boards.

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