Individual provider Active NPI

Cameron Lucchesi

  • Certified Registered Nurse Anesthetist
  • Virginia Beach, VA
National Provider Identifier
1053092304
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024193726 Issued in VA
Practice address
1881 University Dr
Virginia Beach, VA 23453-8083
Phone
(907) 460-1198
NPI assigned
Jul 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 0001309933 VA
Certified Registered Nurse Anesthetist 367500000X 0024193726 VA Primary

Addresses

Primary practice location

1881 University Dr
Virginia Beach, VA 23453-8083

Mailing address

1881 University Dr
Virginia Beach, VA 23453-8001
Phone (907) 460-1198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826003477 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820598519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000

727 N Main St
Emporia, VA 23847-1274
Phone (434) 348-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001309933VAMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC CurrentSince Aug 11, 2025 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Feb 1, 2026 Accepting new patients
Old Dominion University CurrentSince Jul 31, 2023 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

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

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

1881 University Dr
Virginia Beach, VA 23453
Phone (757) 368-4100

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1053092304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538001",
            "telephone_number": "907-460-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538083",
            "telephone_number": "907-460-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHESI",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001309933",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024193726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.