NPIMap

Individual provider Active NPI

Elizabeth Dashiell Bakhshi, MD

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1205801719
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101237350 Issued in VA
Practice address
1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone
(757) 496-4916
Fax
(757) 496-4905
NPI assigned
Feb 18, 2006
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 0101237350 VA Primary

Addresses

Primary practice location

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033

Mailing address

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone (757) 496-4916

Other names 1

  • Elizabeth Dashiell Everett Former name

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
I20051018000548 VA Practitioner - Family Practice 2264458413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeway Family Physicians PCGroup PAC ID 8921079492, 4 clinicians

Practice addresses (Care Compare)

1821 Old Donation Pkwy
Virginia Beach, VA 23454-3033
Phone (757) 481-3350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101237350VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Family Physicians PC Family Medicine CurrentSince Feb 1, 2012 Accepting new patients

Locations

1821 Old Donation Pkwy
Ste 4
Virginia Beach, VA 23454
Phone (757) 481-3350

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1205801719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-496-4916",
            "fax_number": "757-496-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 OLD DONATION PKWY",
            "address_2": "SUITE 4",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543033",
            "telephone_number": "757-496-4916",
            "fax_number": "757-496-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHSHI",
        "first_name": "ELIZABETH",
        "middle_name": "DASHIELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EVERETT",
            "middle_name": "DASHIELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.