Active NPI
Jacobus Benjamin Hugo, M.D.
- Plastic Surgery Physician
- Virginia Beach, VA
National Provider Identifier
1134397326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101048532
- Practice address
- 328 Louisa Avenue
Suite 110
Virginia Beach, VA 23454-4668 - Phone
- (757) 496-4801
- Fax
- (757) 496-4848
- NPI assigned
- Feb 11, 2008
- Last updated
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0005250455 | VA | |
| Plastic Surgery Physician | 208200000X | 0101048532 | VA | Primary |
Addresses
Primary practice location
328 Louisa Avenue
Suite 110
Virginia Beach, VA 23454-4668
Mailing address
328 Louisa Avenue
Suite 110
Virginia Beach, VA 23454-4668
Phone (757) 496-4801
Other names 1
- Dr. J. Ben Hugo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 5, 2018 through May 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005250455 | VA | MD | Specialist |
| 0101048532 | VA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1134397326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 LOUISA AVENUE",
"address_2": "SUITE 110",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544668",
"telephone_number": "757-496-4801",
"fax_number": "757-496-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 LOUISA AVENUE",
"address_2": "SUITE 110",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544668",
"telephone_number": "757-496-4801",
"fax_number": "757-496-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGO",
"first_name": "JACOBUS",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0005250455",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101048532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J.",
"last_name": "HUGO",
"middle_name": "BEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}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 Aug 24, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.