Individual provider Active NPI

Michael J Zugarek, PA

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1013988781
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110840802 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
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 0110840802 VA
Physician Assistant 363A00000X 0110840802 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 identifiers 1

IdentifierTypeStateIssuer
970006832OtherVAMEDICARE RAILROAD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080331000357 VA Practitioner - Physician Assistant 9537245568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Williamsburg, VA 23188-5713

100 Sentara Circle
SMG Division of Hospital Medicine William
Wiliamsburg, VA 23188-5713
Phone (757) 984-7217

3000 Coliseum Dr
Hampton, VA 23666-5963

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

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Vascular Surgery CurrentSince Jan 1, 2008 Accepting new patients

Locations

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

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

397 Little Neck Rd
Ste 120
Virginia Beach, VA 23452

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

Interoperability endpoints

  • Direct secure messaging: mzugarek22603@direct.sentara.net

Organizations & group practices 1

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 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1013988781",
    "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": [],
    "basic": {
        "last_name": "ZUGAREK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0110840802",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970006832",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.