Individual provider Active NPI

Attiyah Tayseer Ismaeli-Campbell, MD

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1255594271
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101245597 Issued in VA
Practice address
213 River Walk Pkwy Ste 101
Chesapeake, VA 23320
Phone
(757) 983-1777
Fax
(757) 507-9043
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101245597 VA Primary

Addresses

Primary practice location

213 River Walk Pkwy Ste 101
Chesapeake, VA 23320

Mailing address

213 River Walk Pkwy Ste 101
Chesapeake, VA 23320-6893
Phone (757) 983-1777

Other practice location 1

20 E Windsor Blvd
Windsor, VA 23487
Phone (757) 242-6185

Other practice location 2

20 E Windsor Blvd
Windsor, VA 23487
Phone (757) 242-6185

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
I20090831000523 VA Practitioner - Family Practice 4082769898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1933 Edwin Dr
Chesapeake, VA 23322-6531

213 River Walk Pkwy
Chesapeake, VA 23320-6893
Phone (757) 983-1765

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • Sentara Homecare Services Home health agency, Chesapeake, VA, CCN 497268
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Jul 22, 2019 Accepting new patients

Locations

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

213 River Walk Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 983-1777

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: aismaelicampbell504766@direct.sentara.net

Organizations & group practices 1

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 9

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1255594271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RIVER WALK PKWY STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206893",
            "telephone_number": "757-983-1777",
            "fax_number": "757-507-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 RIVER WALK PKWY STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-983-1777",
            "fax_number": "757-507-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Windsor Blvd",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "VA",
            "postal_code": "23487",
            "country_code": "US",
            "telephone_number": "757-242-6185",
            "fax_number": "757-242-6647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 E Windsor Blvd",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "VA",
            "postal_code": "23487",
            "country_code": "US",
            "telephone_number": "757-242-6185",
            "fax_number": "757-242-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAELI-CAMPBELL",
        "first_name": "ATTIYAH",
        "middle_name": "TAYSEER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.