Active NPI
Tarek A Elbeshbeshy, MD
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1235210915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101041266
- Practice address
- 6632 Indian River Rd
Virginia Beach, VA 23464-3442 - Phone
- (757) 424-4300
- Fax
- (757) 523-0632
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101041266 | VA | Primary |
Addresses
Primary practice location
6632 Indian River Rd
Virginia Beach, VA 23464-3442
Mailing address
3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3508
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52842 | Other | VA | ANTHEM |
| 541690902 | Other | VA | MID ATLANTIC SOLUTIONS |
| 010192005 | Medicaid | VA | |
| 418619 | Other | VA | SOUTHERN HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101041266 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Medical Center, Inc | Past | Accepting new patients | |
| Nowcare Physicians | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
-
- Emergency Medicine Physician
- Virginia Beach, VA
- NPI 1407864796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1235210915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 WESTERN BRANCH BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215260",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6632 INDIAN RIVER RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643442",
"telephone_number": "757-424-4300",
"fax_number": "757-523-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBESHBESHY",
"first_name": "TAREK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101041266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "52842",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC SOLUTIONS",
"identifier": "541690902",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010192005",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "418619",
"state": "VA"
}
],
"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 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.