Individual provider Active NPI

Rajiv B Nanavaty, M.D.

  • Neurology Physician
  • Suffolk, VA
National Provider Identifier
1013937564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101230472 Issued in VA
Practice address
150 Burnetts Way
Suite 320
Suffolk, VA 23434-8168
Phone
(757) 934-1900
Fax
(757) 925-6719
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101230472 VA Primary

Addresses

Primary practice location

150 Burnetts Way
Suite 320
Suffolk, VA 23434-8168

Mailing address

150 Burnetts Way
Suite 320
Suffolk, VA 23434-8168
Phone (757) 934-1900

Other identifiers 2

IdentifierTypeStateIssuer
130025269OtherVAMEDICARE RR
007102925MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajiv.nanavaty@suffolkneuro.directbygreenway.com Direct

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
I20080222000204 VA Practitioner - Neurology 9032208160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Neurology Associates of Suffolk PLLCGroup PAC ID 0244373942, 4 clinicians

Practice addresses (Care Compare)

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

150 Burnetts Way
Suite 320
Suffolk, VA 23434-8288
Phone (757) 934-1900

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Neurology CurrentSince Apr 17, 2020 Accepting new patients
Neurology Associates of Suffolk, PLLC Neurology CurrentSince Jan 1, 2010 Accepting new patients

Locations

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

150 Burnetts Way
Ste 320
Suffolk, VA 23434
Phone (757) 934-1900

5839 Harbour View Blvd
Ste 201
Suffolk, VA 23435
Phone (757) 967-0406

Interoperability endpoints

  • Direct secure messaging: rajiv.nanavaty@suffolkneuro.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71433

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013937564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY",
            "address_2": "SUITE 320",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-934-1900",
            "fax_number": "757-925-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BURNETTS WAY",
            "address_2": "SUITE 320",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348168",
            "telephone_number": "757-934-1900",
            "fax_number": "757-925-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATY",
        "first_name": "RAJIV",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101230472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "130025269",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007102925",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajiv.nanavaty@suffolkneuro.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "RBN direct mssg",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Burnetts Way",
            "address_2": "Suite 320",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234348168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.