Active NPI
Robert J. Accettola, M.D.
- Cardiovascular Disease Physician
- Portsmouth, VA
National Provider Identifier
1053428862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101039484
- Practice address
- 3737 High St
Portsmouth, VA 23707-2405 - Phone
- (757) 686-9400
- Fax
- (757) 686-9449
- NPI assigned
- Aug 25, 2006
- Last updated
- Jan 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101039484 | VA | Primary |
Addresses
Primary practice location
3737 High St
Portsmouth, VA 23707-2405
Mailing address
3737 High St
Portsmouth, VA 23707-2405
Phone (757) 686-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O10109060 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1053428862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237072405",
"telephone_number": "757-686-9400",
"fax_number": "757-686-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237072405",
"telephone_number": "757-686-9400",
"fax_number": "757-686-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACCETTOLA",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101039484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O10109060",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
- Christina Abraham, PHARMD
- Abs Lincs VA (First Home Care)
- Absolute Home Care LLC (Absolute Home Care)
- Adebunmi Oluwaseun Aburo
- Aca Home Healthcare LLC. (A Call Away Home Health Care LLC.)
- Accident & Injury Center, Inc.
- Ace Homecare
- Maya Acocella, DPT
- Act Nursing Services Inc
- Angela Marie Adams, OTR/L, CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.