Individual provider Active NPI

Patrick W O'Connell, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Virginia Beach, VA
National Provider Identifier
1154340180
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0101043878 Issued in VA
Practice address
1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004
Phone
(757) 422-8476
Fax
(757) 213-4332
NPI assigned
Jul 19, 2006
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0101043878 VA Primary

Addresses

Primary practice location

1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004

Mailing address

1115 Boulders Pkwy Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595

Other identifiers 1

IdentifierTypeStateIssuer
6409644MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address poconnell17480@direct.orthovirginia.com Other

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
I20120227000647 VA Practitioner - Orthopedic Surgery 4688757784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.85 of 100Reported as group
Quality
90.74
Promoting interoperability
100
Improvement activities
40
Cost
78.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia, Inc CurrentSince Jan 1, 2019 Accepting new patients
Orthovirginia Inc Current Accepting new patients
Vann-Virginia Center for Orthopaedics PC Past Accepting new patients
Vann-Virginia Center for Orthopaedics PC Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

1849 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 422-8476

Interoperability endpoints

  • Direct secure messaging: poconnell17480@direct.orthovirginia.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1154340180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BOULDERS PKWY STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232254067",
            "telephone_number": "804-560-5595",
            "fax_number": "804-560-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 OLD DONATION PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543004",
            "telephone_number": "757-422-8476",
            "fax_number": "757-213-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "PATRICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101043878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6409644",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "poconnell17480@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. O'Connell direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1849 Old Donation Pkwy",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234543004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.