Active NPI
Sara Tyszko, PA-C
- Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1205936903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01119
- Practice address
- 5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784 - Phone
- (757) 490-4802
- Fax
- (304) 293-6963
- NPI assigned
- Sep 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01119 | WV | Primary |
Addresses
Primary practice location
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Mailing address
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802
Other practice location 1
1 Stadium Drive
Morgantown, WV 26506
Phone (304) 598-4800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Virginia Beach General Hospital
- Sentara Leigh Hospital
- Sentara Princess Anne Hospital
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01119 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients |
Locations
5716 Cleveland St
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8583
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1477583599
VA
-
- Orthopaedic Surgery Physician
- Virginia Beach, VA
- NPI 1033145404
-
- Durable Medical Equipment & Medical Supplies
- Bethesda, MD
- NPI 1851759898
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1205936903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 CLEVELAND ST STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621784",
"telephone_number": "757-490-4802",
"fax_number": "304-293-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 CLEVELAND ST STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621784",
"telephone_number": "757-490-4802",
"fax_number": "304-293-6963"
}
],
"practiceLocations": [
{
"address_1": "1 Stadium Drive",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "26506",
"country_code": "US",
"telephone_number": "304-598-4800",
"fax_number": "304-293-6963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYSZKO",
"first_name": "SARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.