Individual provider Active NPI

Dewey Steele, PA-C

  • Specialist
  • Newport News, VA
National Provider Identifier
1174687131
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0110001880 Issued in VA
Practice address
12720 McManus Blvd Ste 305
Newport News, VA 23602-4414
Phone
(757) 947-3170
Fax
(757) 947-3180
NPI assigned
Dec 21, 2006
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0110001880 VA Primary

Addresses

Primary practice location

12720 McManus Blvd Ste 305
Newport News, VA 23602-4414

Mailing address

12720 McManus Blvd Ste 305
Newport News, VA 23602-4414
Phone (757) 947-3170

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000080 VA Practitioner - Physician Assistant 9234109216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

12720 McManus Blvd
Newport News, VA 23602-4414
Phone (757) 947-3170

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 947-3838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Immaculate Hospital LLC CurrentSince Sep 7, 2010 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mary Immaculate Hospital LLC CurrentSince Sep 7, 2010 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Weight Loss Surgery Center Specialist Past Accepting new patients

Locations

12720 McManus Blvd
Ste 305
Newport News, VA 23602
Phone (757) 947-3170

12720 McManus Blvd
Ste 308
Newport News, VA 23602
Phone (757) 947-3170

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

Interoperability endpoints

  • Direct secure messaging: dsteele1156061@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1174687131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 305",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 305",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-947-3170",
            "fax_number": "757-947-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "DEWEY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0110001880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.