Organization Active NPI

Virginia Medical Specialist, PLC

  • Pulmonary Disease Physician
  • Virginia Beach, VA
National Provider Identifier
1003937822
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101042140 Issued in VA
Legal business name
VIRGINIA MEDICAL SPECIALIST, PLC
Practice address
816 Independence Blvd
Ste 3C
Virginia Beach, VA 23455-6010
Phone
(757) 363-8838
Fax
(757) 363-2801
NPI assigned
Apr 2, 2007
Organization subpart
Yes
Parent organization
VIRGINIA MEDICAL SPECIALIST PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Anil N Patel, MD
Title
Owner/Partner
Phone
(757) 363-8838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 0101042140 VA Primary

Addresses

Primary practice location

816 Independence Blvd
Ste 3C
Virginia Beach, VA 23455-6010

Mailing address

816 Independence Blvd
Suite 3C
Virginia Beach, VA 23455-6010
Phone (757) 363-8838

Other names 1

  • P. Anil M.D., PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000272 VA Part B Supplier - Clinic/Group Practice 6305839051 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chesapeake, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Virginia Medical Specialist

Locations

816 Independence Blvd
Ste 3C
Virginia Beach, VA 23455
Phone (757) 363-8838

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1003937822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD",
            "address_2": "SUITE 3C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-8838",
            "fax_number": "757-363-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD",
            "address_2": "STE 3C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-8838",
            "fax_number": "757-363-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL SPECIALIST, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA MEDICAL SPECIALIST PLC",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "757-363-8838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101042140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P. Anil M.D., PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.