Individual provider Active NPI

Thomas A Piscitelli, D.O.

  • Internal Medicine Physician
  • North Prince George, VA
National Provider Identifier
1063444289
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102203386 Issued in VA
Practice address
1060 River Rd
North Prince George, VA 23860-1666
Phone
(804) 504-7200
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9800662 NC
Internal Medicine Physician 207R00000X 192778 NY
Internal Medicine Physician 207R00000X 0102203386 VA Primary

Addresses

Primary practice location

1060 River Rd
North Prince George, VA 23860-1666

Mailing address

15800 Old Castle Rd
Midlothian, VA 23112-1757
Phone (804) 801-4207

Other practice location 1

10510 Jefferson Ave # G
Newport News, VA 23601-3102
Phone (757) 594-3800

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
I20140219001713 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 8325003361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Hospital IncGroup PAC ID 1557271293, 47 clinicians

Practice addresses (Care Compare)

10510 Jefferson Ave
A
Newport News, VA 23601-3102
Phone (757) 594-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as group
Quality
80.86
Promoting interoperability
79
Improvement activities
40
Cost
85.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800662NCMDInternal Medicine Physician
192778NYMDInternal Medicine Physician
0102203386VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc. CurrentSince Aug 4, 2024 Accepting new patients
Riverside Hospital Inc Internal Medicine Current Accepting new patients
Healogics Specialty Physicians of Virginia, LLC CurrentSince Feb 28, 2020 Accepting new patients
Riverside Hospital Inc CurrentSince Aug 4, 2024 Accepting new patients
St John Macomb-Oakland Hospital Past Accepting new patients
Riverside Physician Services, Inc. Past Accepting new patients
Federal Bureau Prisons, FCC Petersburg Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

11008 Warwick Blvd
Ste 1300
Newport News, VA 23601
Phone (757) 594-3800

10510 Jefferson Ave
#G
Newport News, VA 23601
Phone (757) 594-3800

14010 Smoketown Rd
Ste 103
Woodbridge, VA 22192
Phone (571) 402-7322

Interoperability endpoints

  • Direct secure messaging: tpiscitelli244327@direct.rivhs.com

Organizations & group practices 7

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1063444289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 OLD CASTLE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231121757",
            "telephone_number": "804-801-4207",
            "fax_number": "804-858-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 RIVER RD",
            "city": "NORTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238601666",
            "telephone_number": "804-504-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10510 Jefferson Ave # G",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236013102",
            "country_code": "US",
            "telephone_number": "757-594-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISCITELLI",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800662",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192778",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102203386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Prince George, VA

Sources for this page

Verify at the official NPI Registry.