Active NPI
Justin Siegel, MD
- Otolaryngology Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101279441
- Practice address
- 713 Volvo Pkwy Ste 101
Chesapeake, VA 23320-1614 - Phone
- (757) 842-4115
- Fax
- (757) 842-4116
- NPI assigned
- Apr 5, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 0101279441 | VA | Primary |
Addresses
Primary practice location
713 Volvo Pkwy Ste 101
Chesapeake, VA 23320-1614
Mailing address
PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 842-4115
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
713 Volvo Pkwy
Suite 101
Chesapeake, VA 23320-1614
Phone (757) 842-4110
Hospital & facility affiliations
- Sentara Obici Hospital
- Sentara Norfolk General Hospital
- Chesapeake General Hospital
- Sentara Leigh Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients |
Locations
713 Volvo Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 842-4115
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
2000 Meade Pkwy
Ste 170
Suffolk, VA 23434
Interoperability endpoints
- justin.siegel.1@19711.direct.athenahealth.com
- justin.siegel@bayview.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1033615257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7068",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070068",
"telephone_number": "757-842-4115",
"fax_number": "757-842-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 VOLVO PKWY STE 101",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201614",
"telephone_number": "757-842-4115",
"fax_number": "757-842-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JUSTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101279441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.