Riverside Physician Services INC
in Smithfield, VA. Organization (NPI-2).
NPI number1235150970
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1235150970
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Physician Services INC
- Organization subpart
- Yes
- Enumeration date
- Jul 21, 2006
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Other names
- Riverside Vascular Specialists Smithfield (Doing Business As)
Practice location
19375 Benns Grant BlvdSmithfield, VA 23430-6393
Phone 757-674-8700 · Fax 757-674-8820
Mailing address
856 J Clyde Morris BlvdSuite A
Newport News, VA 23601-1318
Phone 757-594-4006 · Fax 757-534-5190
Authorized official
Billie Jo Brown
Credentialing Manager
7573165901
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.