ELISEO A. BAUTISTA M.D. NPI 1073566048

NPI Information

  • NPI: 1073566048
  • Provider Name: ELISEO A. BAUTISTA, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 5855 BREMO RD
    SUITE 506
    RICHMOND, VA
    ZIP 23226
  • Phone: (804) 285-3225

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NPI Details

Eliseo A. Bautista, M.D. is a surgery in Richmond, VA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Eliseo A. Bautista, M.D. NPI is 1073566048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5855 BREMO RD
SUITE 506
RICHMOND, VA
ZIP 23226-926
Phone: (804) 285-3225
Fax: (804) 285-0360

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery0101051604VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002940C63OTHERVIRGINIAOPTIMA MEDICARE
2269001OTHERVIRGINIABC/BS
3002940063MEDICARE PINVIRGINIA
44270015OTHERVIRGINIAAETNA
5C01463MEDICARE OSCAR/CERTIFICATIONVIRGINIA
6010024536MEDICAIDVIRGINIA
7002940C63OTHERVIRGINIAHUMANA GOLD
8010024536OTHERVIRGINIAVA PREMIER
9230046OTHERVIRGINIASOUTHERN HEALTH
1044645OTHERVIRGINIACARENET
11541267736OTHERVIRGINIAUNITED HEALTHCARE
12541267736OTHERVIRGINIACOMMERCIAL
1330961OTHERVIRGINIAOPTIMA
14H97374MEDICARE UPINVIRGINIA
15P00083231MEDICARE PINVIRGINIA
16002940C63OTHERVIRGINIASECURE HORIZONS
17541267736OTHERVIRGINIACIGNA
18CC5198MEDICARE OSCAR/CERTIFICATIONVIRGINIA
19C06695OTHERVIRGINIAGROUP PTAN
20CO301505MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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