Organization Active NPI

Hampton Roads Internal Medicine

  • Internal Medicine Physician
  • Hampton, VA
National Provider Identifier
1215117437
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101033520 Issued in VA
Legal business name
HAMPTON ROADS INTERNAL MEDICINE
Practice address
2115 Executive Dr
Suite 2a
Hampton, VA 23666-2499
Phone
(757) 827-1920
Fax
(757) 827-7509
NPI assigned
Nov 5, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Henry Lester Rothfuss, M.D.NPI 1881653004
Title
President
Phone
(757) 827-1920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101033520 VA Primary

Addresses

Primary practice location

2115 Executive Dr
Suite 2a
Hampton, VA 23666-2499

Mailing address

2115 Executive Drive
Suite 2a
Hampton, VA 23666-2411
Phone (757) 827-1920

Other identifiers 1

IdentifierTypeStateIssuer
C10327OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

2115 Executive Dr
Ste 2A
Hampton, VA 23666
Phone (757) 826-7785

303 Butler Farm Rd
Ste 103
Hampton, VA 23666
Phone (757) 826-3434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1215117437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DRIVE",
            "address_2": "SUITE 2A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662411",
            "telephone_number": "757-827-1920",
            "fax_number": "757-827-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "SUITE 2A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-827-1920",
            "fax_number": "757-827-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "ROTHFUSS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-827-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101033520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C10327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.