Michael A Lepore Jr., M.D. PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101038504 Issued in VA

Practice address

1510 Breezeport Way Ste 600
Harbour Breeze Professional Center
Suffolk, VA 23435-3738

Phone

(757) 686-8700

Fax

(757) 686-8006

NPI assigned

Jul 22, 2006

Last updated

Oct 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael a. Lepore, Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Suffolk, VA
  • NPI 1518018340
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1265453500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BREEZEPORT WAY STE 600",
            "address_2": "HARBOUR BREEZE PROFESSIONAL CENTER",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353738",
            "telephone_number": "757-686-8700",
            "fax_number": "757-686-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BREEZEPORT WAY STE 600",
            "address_2": "HARBOUR BREEZE PROFESSIONAL CENTER",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353738",
            "telephone_number": "757-686-8700",
            "fax_number": "757-686-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "M.D. PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101038504",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200400903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901723",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006209181",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.