Organization Active NPI

Bayside Hematology &Oncology P.C

  • Medical Specialty Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1245321496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BAYSIDE HEMATOLOGY &ONCOLOGY P.C
Practice address
1020 Independence Blvd
Suite 208
Virginia Beach, VA 23455-5500
Phone
(757) 464-6464
Fax
(757) 464-6424
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bhaskar Gadahad Rao, MDNPI 1972577344
Title
President
Phone
(797) 464-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1020 Independence Blvd
Suite 208
Virginia Beach, VA 23455-5500

Mailing address

1020 Independence Blvd
Suite 208
Virginia Beach, VA 23455-5500
Phone (757) 464-6464

Other identifiers 2

IdentifierTypeStateIssuer
274502OtherVAANTHEM BC BS
35041OtherVASENTARA PLANS

National Provider Directory

National Provider Directory

Locations

1020 Independence Blvd
Ste 208
Virginia Beach, VA 23455
Phone (757) 464-6464

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245321496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-6464",
            "fax_number": "757-464-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-6464",
            "fax_number": "757-464-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE HEMATOLOGY &ONCOLOGY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_middle_name": "GADAHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "797-464-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "274502",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA PLANS",
            "identifier": "35041",
            "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 Aug 22, 2020; 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.