Individual provider Active NPI

Jean Michel Panneton, MD

  • Vascular Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1003887449
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101236977 Issued in VA
Practice address
397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone
(757) 395-1600
Fax
(757) 961-9359
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 62730 TN
Vascular Surgery Physician 2086S0129X 0101236977 VA Primary

Addresses

Primary practice location

397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774

Mailing address

397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone (757) 395-1600

Other practice location 1

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-7272

Other identifiers 2

IdentifierTypeStateIssuer
P00131086OtherMEDICARE RAILROAD
010087538MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040907001330 VA Practitioner - Interventional RadiologyPractitioner - Vascular Surgery 6901872381 Reassigns benefits to 2 organizations
I20250203002268 TN Practitioner - Vascular Surgery 6901872381 Reassigns benefits to 1 organization
I20251215001711 FL Practitioner - Vascular Surgery 6901872381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

2111 Sole Mia Way
Uhealth Sol Mia
North Miami, FL 33181-2492
Phone (786) 392-7653

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • Regional One Health Hospital, Memphis, TN, CCN 440152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Oct 11, 2025 Accepting new patients
Sentara Medical Group CurrentSince Jan 1, 2008 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Dec 1, 2024 Accepting new patients
Sentara Medical Group Vascular Surgery CurrentSince Jan 1, 2008 Accepting new patients
Vascular Access Services PLLC Vascular Surgery CurrentSince May 1, 2006 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Dec 1, 2024 Accepting new patients
University of Miami Vascular Surgery CurrentSince Oct 11, 2025 Accepting new patients
Mandell Retina Center PC PastSince May 1, 2006 Accepting new patients
Vascular & Transplant Specialists PC Vascular Surgery Past Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1321 NW 14th St
Ste 600
Miami, FL 33125
Phone (305) 547-2534

2111 Sole Mia Way
North Miami, FL 33181
Phone (786) 392-7653

40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

600 Gresham Dr
Ste 8620
Norfolk, VA 23507
Phone (757) 388-6402

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

397 Little Neck Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 222-2230

397 Little Neck Rd
Ste 150
Virginia Beach, VA 23452
Phone (757) 333-3870

800 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 363-6100

397 Little Neck Rd
Ste 120
Virginia Beach, VA 23452

397 Little Neck Rd
#3300S
Virginia Beach, VA 23452
Phone (757) 333-3870

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jpanneton174115@direct.med.miami.edu
  • Direct secure messaging: jpanneton16052@direct.sentara.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1003887449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525774",
            "telephone_number": "757-395-1600",
            "fax_number": "757-961-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525774",
            "telephone_number": "757-395-1600",
            "fax_number": "757-961-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033409",
            "country_code": "US",
            "telephone_number": "901-545-7272",
            "fax_number": "901-545-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNETON",
        "first_name": "JEAN",
        "middle_name": "MICHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "62730",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101236977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00131086",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010087538",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.