Individual provider Active NPI

Michael Lofgren, M.D.

  • Plastic Surgery Physician
  • Newport News, VA
National Provider Identifier
1104099241
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101244519 Issued in VA
Practice address
895 City Center Blvd Ste 300
Newport News, VA 23606-3080
Phone
(757) 873-3500
Fax
(757) 591-5240
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101244519 VA Primary

Addresses

Primary practice location

895 City Center Blvd Ste 300
Newport News, VA 23606-3080

Mailing address

895 City Center Blvd Ste 300
Newport News, VA 23606-3080
Phone (757) 873-3500

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
I20100812000470 VA Practitioner - Plastic and Reconstructive Surgery 5890829881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Eastern Virginia Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Center of Hampton Roads PCGroup PAC ID 4587751227, 5 clinicians

Practice addresses (Care Compare)

895 City Ctr Blvd
Suite 300
Newport News, VA 23606-3080
Phone (757) 873-3500

Hospital & facility affiliations

  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Hardin Memorial Hospital Hospital, Kenton, OH, CCN 361315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Center of Hampton Roads, PC Plastic Surgery CurrentSince Jul 12, 2010 Accepting new patients

Locations

895 City Center Blvd
Ste 300
Newport News, VA 23606
Phone (757) 873-3500

5424A Discovery Park Blvd
Ste 202
Williamsburg, VA 23188

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1104099241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CITY CENTER BLVD STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063080",
            "telephone_number": "757-873-3500",
            "fax_number": "757-591-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CITY CENTER BLVD STE 300",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063080",
            "telephone_number": "757-873-3500",
            "fax_number": "757-591-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFGREN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101244519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.