Active NPI
Michael J Zugarek, PA
- Physician Assistant
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840802
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970006832 | Other | VA | MEDICARE 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Vascular Surgery | Current | 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
- 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.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1427064310
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.