Active NPI
Virginia Medical Specialist, PLC
- Pulmonary Disease Physician
- Virginia Beach, VA
National Provider Identifier
1003937822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101042140
- 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 PLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Pulmonary Disease Physician
- Chesapeake, VA
- NPI 1003931981
O20070621000272
-
- Pulmonary Disease Physician
- Virginia Beach, VA
- NPI 1285768465
O20070621000272
-
- Infectious Disease Physician
- Norfolk, VA
- NPI 1669529053
O20070621000272
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.