Nina Balanchivadze, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Norfolk, VA
NPI 1215225552 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1215225552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 0101274592 (VA)
- Practice address
- 6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800 - Phone
- (757) 466-8683
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Virginia Oncology Associates
Practice addresses (Care Compare)
6251 E Virginia Beach Blvd
Suite 200
Norfolk, VA 23502-2800
Phone (757) 466-8683
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
- Sentara Princess Anne Hospital
- Sentara Virginia Beach General Hospital
- Sentara Obici Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220527000976 | VA | Practitioner - Hematology/Oncology | 6204051055 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Oncology Associates | Current |
Accepting new patients | |
| Virginia Oncology Associates | Hematology & Oncology | Current |
Accepting new patients |
Locations
744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403
3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400
1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400
6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683
6350 Center Dr
Ste 200
Norfolk, VA 23502
5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683
3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215
2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670
1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437
500 Sentara Cir
Ste 203
Williamsburg, VA 23188
Phone (757) 229-2236
Interoperability endpoints
- nino.balanchivadze@voa.ikm.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36560 | SC | |
| Internal Medicine Physician | 207R00000X | 4301117273 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | 0101274592 | VA | Yes |
Addresses
Primary practice location
6251 E Virginia Beach Blvd Ste 200
Norfolk, VA 23502-2800
Mailing address
6350 Center Dr Ste 200
Norfolk, VA 23502-4107
Phone (757) 905-5558
Other names
- Nino Balanchivadze
NPI Registry JSON
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1215225552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 CENTER DR STE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024107",
"telephone_number": "757-905-5558",
"fax_number": "757-213-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6251 E VIRGINIA BEACH BLVD STE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022800",
"telephone_number": "757-466-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALANCHIVADZE",
"first_name": "NINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "36560",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301117273",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101274592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINO",
"last_name": "BALANCHIVADZE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norfolk, VA
- Amanda Bakko
- Liliya Balabanova
- Balance Homecare Services Inc
- Balance Homecare Services Inc
- Balance Homecare Services Inc
- Cristina Marie Baldassari
- Mary Ann Balding
- Brianna Baldwin
- Lisa Marie Baldwin
- Donna G Balgavy
All providers in Norfolk, VA · Hematology & Oncology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.