Individual provider Active NPI

David KC Langille, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Virginia Beach, VA
National Provider Identifier
1043323058
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
0101043050 Issued in VA
Practice address
101 N Lynnhaven Rd
Suite100
Virginia Beach, VA 23452-7523
Phone
(757) 264-9957
Fax
(757) 963-0444
NPI assigned
Aug 16, 2006
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 0101043050 VA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101043050 VA Primary

Addresses

Primary practice location

101 N Lynnhaven Rd
Suite100
Virginia Beach, VA 23452-7523

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063

Other identifiers 8

IdentifierTypeStateIssuer
5900447MedicaidNC
251490OtherMAMSI/MDIPA
010146135MedicaidVA
9300570OtherOPTIMUM CHOICE
93215OtherOPTIMA
P00201468OtherMEDICARE RAILROAD
067TTOtherBLUE CROSS BLUE SHIELD NC
082480OtherBLUE CROSS BLUE SHIELD VA

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
I20050415000803 VA Practitioner - Emergency Medicine 4880597285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspiration Health Addiction Treatment Center, LLCGroup PAC ID 1759773484, 6 clinicians

Practice addresses (Care Compare)

1729 Wildwood Dr
Suite 103
Virginia Beach, VA 23454-3176
Phone (757) 938-3654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101043050VAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC Addiction Medicine CurrentSince Apr 1, 2022 Accepting new patients
Inspiration Health Addiction Treatment Center, LLC Addiction Medicine CurrentSince Jun 3, 2023 Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Apr 1, 2022 Accepting new patients
Emergency Physicians of Tidewater Past Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients
Tidewater Emergency Medical Care, LTD. Past Accepting new patients

Locations

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

3704 Old Forest Rd
Lynchburg, VA 24501

11745 Jefferson Ave
Ste 10B
Newport News, VA 23606
Phone (757) 315-6905

1711 Church St
Ste B
Norfolk, VA 23504
Phone (757) 590-4428

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

1729 Wildwood Dr
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-3179

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1043323058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD",
            "address_2": "SUITE100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-264-9957",
            "fax_number": "757-963-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGILLE",
        "first_name": "DAVID",
        "middle_name": "KC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101043050",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101043050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/MDIPA",
            "identifier": "251490",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010146135",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "9300570",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "93215",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00201468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "067TT",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD VA",
            "identifier": "082480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.