Medidoctors Primary Care LLC
NPI 1063467975 · Infectious Disease Physician · Fredericksburg, VA
Medidoctors Primary Care LLC is a Infectious Disease Physician organization in Fredericksburg, VA (NPI 1063467975).
Provider details
- NPI number
- 1063467975
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Lively, Executive Director(540) 741-1473
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Maternal & Fetal Medicine Physician207VM0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2007-10-17
Frequently asked questions
- What is Medidoctors Primary Care LLC's NPI number?
- Medidoctors Primary Care LLC's National Provider Identifier (NPI) is 1063467975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medidoctors Primary Care LLC?
- Medidoctors Primary Care LLC is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Medidoctors Primary Care LLC located?
- Medidoctors Primary Care LLC's practice location on file with NPPES is 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453.
- What is Medidoctors Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Medidoctors Primary Care LLC is (540) 741-1428.
- Who is the authorized official for Medidoctors Primary Care LLC?
- The authorized official listed on Medidoctors Primary Care LLC's NPPES record is Robert Lively, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medidoctors Primary Care LLC's NPI active?
- Yes — Medidoctors Primary Care LLC's NPI (1063467975) is active in the NPPES registry as of the last update on 2007-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.