NPIMap

Individual provider Active NPI

Siddharth Kishore Bhende, M.D.

  • Vascular Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1043535602
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101253479 Issued in VA
Practice address
397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone
(757) 395-1600
Fax
(757) 961-9359
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X PENDING AZ
Vascular Surgery Physician 2086S0129X 0101253479 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000378 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 3072647437 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Vascular Access Services PLLCGroup PAC ID 3971513771, 10 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

2006 Health Campus Dr
Suite 200
Rockingham, VA 22801-8679
Phone (540) 689-5600

397 Little Neck Rd
3300 South BLDG
Virginia Beach, VA 23452-5770
Phone (757) 333-3870

397 Little Neck Rd
Suite 120
Virginia Beach, VA 23452-5774
Phone (757) 395-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal32
Leg revascularization (restoring blood flow)27
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGAZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Vascular Surgery CurrentSince Mar 19, 2013 Accepting new patients
Mandell Retina Center PC PastSince Jun 1, 2022 Accepting new patients

Locations

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

397 Little Neck Rd
Ste 150
Virginia Beach, VA 23452
Phone (757) 333-3870

397 Little Neck Rd
Ste 120
Virginia Beach, VA 23452

Interoperability endpoints

  • Direct secure messaging: sbhende72101@direct.sentara.net

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1043535602",
    "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": "BHENDE",
        "first_name": "SIDDHARTH",
        "middle_name": "KISHORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101253479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.