Active NPI
Nicole K McIntyre, D.O.
- Sleep Medicine (Otolaryngology) Physician
- Portsmouth, VA
National Provider Identifier
1205810983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Otolaryngology) Physician
- License
- 0102050138
- Practice address
- 1040 University Blvd Ste 205
Portsmouth, VA 23703-2650 - Phone
- (757) 953-3502
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 0102050138 | VA | Primary |
| Otolaryngology Physician | 207Y00000X | 0102050138 | VA |
Addresses
Primary practice location
1040 University Blvd Ste 205
Portsmouth, VA 23703-2650
Mailing address
1908 Hunt Club LN
Chesapeake, VA 23323-6548
Phone (757) 271-8565
Other names 1
- Dr. Nicole K McIntyre
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bonsecours.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
3640 High St
Portsmouth, VA 23707-3213
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102050138 | VA | MD | Sleep Medicine (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients |
Locations
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
1040 University Blvd
Ste 205
Portsmouth, VA 23703
Phone (757) 484-2272
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1205810983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 HUNT CLUB LN",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233236548",
"telephone_number": "757-271-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 UNIVERSITY BLVD STE 205",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237032650",
"telephone_number": "757-953-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "NICOLE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "VA",
"license": "0102050138",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0102050138",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bonsecours.com",
"affiliation": "N",
"address_1": "1040 University Blvd Ste 205",
"city": "Portsmouth",
"state": "VA",
"country_code": "US",
"postal_code": "237032650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MCINTYRE",
"middle_name": "K",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.