Active NPI
Kristina Rea Black Kratovil, M.D.
- Obesity Medicine (Internal Medicine) Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- License
- 0101240416
- Practice address
- 8300 Boone Blvd Ste 500
Vienna, VA 22182-2681 - Phone
- (617) 505-1520
- Fax
- (617) 928-8401
- NPI assigned
- Nov 28, 2006
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101240416 | VA | |
| Internal Medicine Physician | 207R00000X | 2025-01557 | NC | |
| Internal Medicine Physician | 207R00000X | 01081902A | IN | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 0101240416 | VA | Primary |
Addresses
Primary practice location
8300 Boone Blvd Ste 500
Vienna, VA 22182-2681
Mailing address
109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520
Other names 1
- Dr. Kristina Rea Black
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Eastern Virginia Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3920 Bridge Rd
Suite 207
Suffolk, VA 23435-1118
Phone (757) 983-2210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
6333 Center Dr
Bldg 16
Norfolk, VA 23502
Phone (757) 252-9500
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
3920 Bridge Rd
#A207
Suffolk, VA 23435
Phone (757) 252-3294
3920A Bridge Rd
Ste 207
Suffolk, VA 23435
Phone (757) 925-0759
Interoperability endpoints
- kkratovil57008@direct.sentara.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1093881567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE ST STE 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092906",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 BOONE BLVD STE 500",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822681",
"telephone_number": "617-505-1520",
"fax_number": "617-928-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATOVIL",
"first_name": "KRISTINA",
"middle_name": "REA BLACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101240416",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2025-01557",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01081902A",
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Obesity Medicine",
"state": "VA",
"license": "0101240416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "BLACK",
"middle_name": "REA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.