Individual provider Active NPI

Joann Webber Dervay, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Norfolk, VA
National Provider Identifier
1043275803
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
0101056467 Issued in VA
Practice address
6160 Kempsville Cir
Suite 200B
Norfolk, VA 23502-3933
Phone
(757) 321-3383
Fax
(757) 321-3332
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 0101056467 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir
Suite 200B
Norfolk, VA 23502-3933

Mailing address

230 Clearfield Avenue
Suite 124
VA Beach, VA 23462
Phone (757) 321-3383

Other identifiers 1

IdentifierTypeStateIssuer
6802303MedicaidVA

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
I20040712000465 VA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2860470390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056467VAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Aug 20, 2002 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Aug 20, 2002 Accepting new patients

Locations

6160 Kempsville Cir
Ste 200B
Norfolk, VA 23502
Phone (757) 321-3383

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

1800 Camelot Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 252-9600

Interoperability endpoints

  • Direct secure messaging: joanndervaymd@aos.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1043275803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVENUE",
            "address_2": "SUITE 124",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "SUITE 200B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-321-3383",
            "fax_number": "757-321-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVAY",
        "first_name": "JOANN",
        "middle_name": "WEBBER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101056467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6802303",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.