NPIMap

Individual provider Active NPI

Jo-Jo Anne Guzman-Lee, MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1194793067
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058462 Issued in VA
Practice address
885 Kempsville Rd
Suite 320
Norfolk, VA 23502-3800
Phone
(757) 955-2828
Fax
(757) 955-2829
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101058462 VA Primary

Addresses

Primary practice location

885 Kempsville Rd
Suite 320
Norfolk, VA 23502-3800

Mailing address

885 Kempsville Rd
Suite 320
Norfolk, VA 23502-3800
Phone (757) 955-2828

Other identifiers 1

IdentifierTypeStateIssuer
010195365MedicaidVA

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
I20051006000854 VA Practitioner - Internal Medicine 9133144348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

885 Kempsville Rd
Suite 320
Norfolk, VA 23502-3800
Phone (757) 955-2828

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Primary Care LLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

885 Kempsville Rd
Ste 320
Norfolk, VA 23502
Phone (757) 889-6890

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797

Interoperability endpoints

  • Direct secure messaging: jguzmanlee1151699@direct.bsmhealth.org

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1194793067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD",
            "address_2": "SUITE 320",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-955-2828",
            "fax_number": "757-955-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 KEMPSVILLE RD",
            "address_2": "SUITE 320",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023800",
            "telephone_number": "757-955-2828",
            "fax_number": "757-955-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-LEE",
        "first_name": "JO-JO ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010195365",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.