NPIMap

Individual provider Active NPI

Donald E Soles Jr., MD

  • Family Medicine Physician
  • Smithfield, VA
National Provider Identifier
1154312247
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101045475 Issued in VA
Practice address
206 Gumwood Dr
Suite a
Smithfield, VA 23430-6087
Phone
(757) 365-9090
Fax
(757) 365-9095
NPI assigned
Oct 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101045475 VA Primary

Addresses

Primary practice location

206 Gumwood Dr
Suite a
Smithfield, VA 23430-6087

Mailing address

206 Gumwood Dr
Suite a
Smithfield, VA 23430-6087
Phone (757) 365-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000546 VA Practitioner - Family Practice 9335220276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Hospital IncGroup PAC ID 1557271293, 47 clinicians

Practice addresses (Care Compare)

10510 Jefferson Ave
Newport News, VA 23601-3102

206 Gumwood Dr
Suite a
Smithfield, VA 23430-6087
Phone (757) 365-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.05 of 100Reported as group
Quality
80.86
Promoting interoperability
79
Improvement activities
40
Cost
85.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101045475VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Hospital Inc CurrentSince Nov 1, 2007 Accepting new patients
Nansemond Family Practice, LLC Family Medicine CurrentSince Mar 1, 2000 Accepting new patients
Riverside Hospital Inc Current Accepting new patients
Riverside Hospital Inc CurrentSince Nov 1, 2007 Accepting new patients
Riverside Hospital Inc. Family Medicine Past Accepting new patients

Locations

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

206 Gumwood Dr
#A
Smithfield, VA 23430
Phone (757) 365-9090

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1154312247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GUMWOOD DR",
            "address_2": "SUITE A",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306087",
            "telephone_number": "757-365-9090",
            "fax_number": "757-365-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GUMWOOD DR",
            "address_2": "SUITE A",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234306087",
            "telephone_number": "757-365-9090",
            "fax_number": "757-365-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLES",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-29",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101045475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

Verify at the official NPI Registry.