Individual provider Active NPI

Garfield Hue Samuels, M.D.

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1083654669
Registry record updated Jan 12, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101240760 Issued in VA
Practice address
4452 Corporation LN
Ste 300
Virginia Beach, VA 23462-3173
Phone
(757) 518-8827
Fax
(757) 518-8832
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36119 IA
Internal Medicine Physician 207R00000X 0101240760 VA Primary

Addresses

Primary practice location

4452 Corporation LN
Ste 300
Virginia Beach, VA 23462-3173

Mailing address

4452 Corporation LN
Ste 300
Virginia Beach, VA 23462-3173
Phone (757) 518-8827

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
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36119IAMDInternal Medicine Physician
0101240760VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Internal Medicine PC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Primedoc of Norfolk PC Internal Medicine Past Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients

Locations

4460 Corporation Ln
Ste 190
Virginia Beach, VA 23462
Phone (757) 518-8823

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1083654669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 CORPORATION LN",
            "address_2": "STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623173",
            "telephone_number": "757-518-8827",
            "fax_number": "757-518-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 CORPORATION LN",
            "address_2": "STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623173",
            "telephone_number": "757-518-8827",
            "fax_number": "757-518-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "GARFIELD",
        "middle_name": "HUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "36119",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.