Individual provider Active NPI

Kathy Edwina O'Connell, M.D.

  • Obstetrics & Gynecology Physician
  • Newport News, VA
National Provider Identifier
1114939980
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101048159 Issued in VA
Practice address
11842 Rock Landing Dr Ste 115
Newport News, VA 23606-4437
Phone
(757) 505-9905
Fax
(757) 595-5377
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101048159 VA Primary

Addresses

Primary practice location

11842 Rock Landing Dr Ste 115
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr Ste 115
Newport News, VA 23606-4437
Phone (757) 505-9905

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
I20101028000293 VA Practitioner - Obstetrics/Gynecology 4486677762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11842 Rock Landing Dr
Newport News, VA 23606-4437

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101048159VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Aug 30, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Jan 1, 1997 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

11842 Rock Landing Dr
Ste 115
Newport News, VA 23606
Phone (757) 595-9905

714 Thimble Shoals Blvd
#B
Newport News, VA 23606
Phone (757) 595-9905

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

1080 First Colonial Rd
Ste 300
Virginia Beach, VA 23454

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • Direct secure messaging: kathy.o.connell.1@22824.direct.athenahealth.com

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.

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1114939980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 115",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-505-9905",
            "fax_number": "757-595-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR STE 115",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-505-9905",
            "fax_number": "757-595-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "KATHY",
        "middle_name": "EDWINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101048159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.