IndividualActive
Kevin Dmytriw, MD
NPI 1598768038 · Geriatric Medicine (Family Medicine) Physician · Colonial Heights, VA
Provider details
- NPI number
- 1598768038
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 33539 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
524 Southpark Boulevard
Jencare Neighborhood Medical South Park, LLC
Colonial Heights, VA 23834
Phone: (804) 504-7980
Fax: (804) 504-7991
Street-level locationGet directions
Mailing address
524 Southpark Boulevard
Colonial Heights, VA 23834
Registry dates
- Enumerated
- 2005-05-28
- Last updated
- 2014-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.