Individual provider Active NPI

Rosario Devera Hipol, M.D.

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1013920230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101029148 Issued in VA
Practice address
701 Independence Cir Ste 102
Virginia Beach, VA 23455-6439
Phone
(757) 499-6395
Fax
(757) 499-8026
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101029148 VA Primary

Addresses

Primary practice location

701 Independence Cir Ste 102
Virginia Beach, VA 23455-6439

Mailing address

701 Independence Cir Ste 102
Virginia Beach, VA 23455-6439
Phone (757) 499-6395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000121 VA Practitioner - Internal Medicine 0143359760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101029148VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013920230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 INDEPENDENCE CIR STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556439",
            "telephone_number": "757-499-6395",
            "fax_number": "757-499-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 INDEPENDENCE CIR STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556439",
            "telephone_number": "757-499-6395",
            "fax_number": "757-499-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPOL",
        "first_name": "ROSARIO",
        "middle_name": "DEVERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101029148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.