Individual provider Active NPI

David Toshio Eki

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1215438221
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206797 Issued in VA
Practice address
2901 S Lynnhaven Rd
Virginia Beach, VA 23452-8505
Phone
(253) 335-2021
NPI assigned
Feb 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102206797 VA Primary
Family Medicine Physician 207Q00000X 1846651 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2901 S Lynnhaven Rd
Virginia Beach, VA 23452-8505

Mailing address

1370 Stone Creek LN Apt 301
Charlottesville, VA 22902-7162
Phone (253) 335-2021

Other practice location 1

501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504002163 VA Practitioner - Family Practice 7517354145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone (804) 730-0009

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1846651NYMDFamily Medicine Physician
0102206797VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Care Aco LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Legacy Care LLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients

Locations

490 Hillsdale Dr
Charlottesville, VA 22901
Phone (434) 951-4200

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

2901 S Lynnhaven Rd
Virginia Beach, VA 23452
Phone (252) 945-8966

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cedars Healthcare CenterCharlottesville, VA, CCN 495153 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2024
Jul 1, 2024
The Colonnades Health Care CenterCharlottesville, VA, CCN 495254 Skilled nursing facility Adp of the SNF Nov 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1215438221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 STONE CREEK LN APT 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027162",
            "telephone_number": "253-335-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S LYNNHAVEN RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234528505",
            "telephone_number": "253-335-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102401",
            "country_code": "US",
            "telephone_number": "570-343-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKI",
        "first_name": "DAVID",
        "middle_name": "TOSHIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-24",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206797",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1846651",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.