NPIMap

Individual provider Active NPI

Nasser Hambaz, MD

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1174533129
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101037952 Issued in VA
Practice address
4876 Baxter Rd
Virginia Beach, VA 23462-4404
Phone
(757) 671-7777
Fax
(757) 671-7778
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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 0101037952 VA Primary

Addresses

Primary practice location

4876 Baxter Rd
Virginia Beach, VA 23462-4404

Mailing address

4876 Baxter Rd
Virginia Beach, VA 23462-4404
Phone (757) 671-7777

Other identifiers 1

IdentifierTypeStateIssuer
005680255MedicaidVA

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
I20090126000623 VA Practitioner - Family PracticePractitioner - Internal Medicine 8325102999 Reassigns benefits to 1 organization
Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4876 Baxter Rd
Suite 101
Virginia Beach, VA 23462-4404
Phone (757) 671-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as individual
Quality
76.18
Promoting interoperability
98
Improvement activities
40
Cost
66.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101037952VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical Center LLC Family Medicine CurrentSince Dec 1, 2008 Accepting new patients

Locations

4876 Baxter Rd
Virginia Beach, VA 23462
Phone (757) 671-7777

4876 Baxter Rd
#101
Virginia Beach, VA 23462
Phone (757) 671-7777

Interoperability endpoints

  • Direct secure messaging: nasser.hambaz.1@3676.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3676/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 12

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1174533129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4876 BAXTER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624404",
            "telephone_number": "757-671-7777",
            "fax_number": "757-671-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 BAXTER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624404",
            "telephone_number": "757-671-7777",
            "fax_number": "757-671-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBAZ",
        "first_name": "NASSER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101037952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005680255",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.