Active NPI
Paul Chupka, MD
- Hospitalist Physician
- Virginia Beach, VA
National Provider Identifier
1104898691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0102201321
- Practice address
- 1060 First Colonial Rd
Sentara Virginia Beach General Hospital
Virginia Beach, VA 23454-3002 - Phone
- (757) 340-3489
- Fax
- (757) 340-4278
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0102201321 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 010221321 | VA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 0102201321 | VA |
Addresses
Primary practice location
1060 First Colonial Rd
Sentara Virginia Beach General Hospital
Virginia Beach, VA 23454-3002
Mailing address
PO Box 2546
Virginia Beach, VA 23450-2546
Phone (757) 340-3489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005881757 | 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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010221321 | VA | MD | Internal Medicine Physician |
| 0102201321 | VA | MD | Hospitalist Physician |
Interoperability endpoints
- paul.chupka.1@15244.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1104898691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2546",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234502546",
"telephone_number": "757-340-3489",
"fax_number": "757-340-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 FIRST COLONIAL RD",
"address_2": "SENTARA VIRGINIA BEACH GENERAL HOSPITAL",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543002",
"telephone_number": "757-340-3489",
"fax_number": "757-340-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUPKA",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0102201321",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "010221321",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "VA",
"license": "0102201321",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005881757",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.