Active NPI
Roshan S Talreja, MD
- Internal Medicine Physician
- VA Beach, VA
National Provider Identifier
1023175148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101024769
- Practice address
- 1805 Colonial Medical Court
VA Beach, VA 23454 - Phone
- (757) 481-4475
- Fax
- (757) 481-7650
- NPI assigned
- Jan 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101024769 | VA | Primary |
Addresses
Primary practice location
1805 Colonial Medical Court
VA Beach, VA 23454
Mailing address
1805 Colonial Medical Court
VA Beach, VA 23454
Phone (757) 481-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001332 | Other | VA | ANTHEM BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101024769 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023175148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 COLONIAL MEDICAL COURT",
"city": "VA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-481-4475",
"fax_number": "757-481-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 COLONIAL MEDICAL COURT",
"city": "VA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-481-4475",
"fax_number": "757-481-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALREJA",
"first_name": "ROSHAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101024769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "001332",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in VA Beach, VA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.