Sentara Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SENTARA MEDICAL GROUP

Practice address

824 N Military Hwy Ste 100
Norfolk, VA 23502-3652

Phone

(757) 252-2900

NPI assigned

May 19, 2006

Last updated

Feb 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doris Prince

Title

Director

Phone

(757) 252-2760

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC, DC, NY, FL, MN, WV, AZ, DE, NJ, PA, SC, OH, HI, MD, MA16 enrollments

Enrollment records 16

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Sentara Medical Group

  dba First Colonial Diagnostic Center

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
  • NPI 1053350322

  8921903923

  Same PAC ID
• Sentara Medical Group

  dba Sentara Edinburgh Diagnostic Center

  • Diagnostic Radiology Physician
  • Chesapeake, VA
  • NPI 1487195111

  8921903923

  Same PAC ID

Locations (25 of 206)

Practitioners 2,305

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.

• Mohammad Reza Abolhassani, M.D.

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1932297702
  Medicare reassignment Care Compare group NPD
• Eyad Mohammad Abu-Hamda, M.D.P.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fairfax, VA
  • NPI 1619961638

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Brian James Adams, MD

  • Interventional Cardiology Physician
  • Williamsburg, VA
  • NPI 1811954860

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Gregory Franklin Adams, MD

  • Surgery Physician
  • Norfolk, VA
  • NPI 1053363846
  Medicare reassignment Care Compare group NPD
• Oluwaseyi Toluwani Adebekun, MD

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1174150908
  Medicare reassignment Care Compare group NPD
• Aderonke Mariam Ademola

  • Gerontology Nurse Practitioner
  • Norfolk, VA
  • NPI 1336955814
  Medicare reassignment Care Compare group NPD
• Catherine Dare Adickes, NP

  • Family Nurse Practitioner
  • Suffolk, VA
  • NPI 1942757265
  Medicare reassignment Care Compare group NPD
• Alf Karl Adler, MD

  • Obstetrics & Gynecology Physician
  • Dumfries, VA
  • NPI 1396856860
  Medicare reassignment Care Compare group NPD
• David Henry Adler, MD

  • Interventional Cardiology Physician
  • Virginia Beach, VA
  • NPI 1588711386

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Gauri Aggarwal, MD

  • Hospitalist Physician
  • Richmond, VA
  • NPI 1356471114

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Imtiaz Ahmed, M.D.

  • Hospitalist Physician
  • Virginia Beach, VA
  • NPI 1225370471

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Javed Akram, M.D.

  • Hospitalist Physician
  • Richmond, VA
  • NPI 1558580365
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1265485270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746550",
            "telephone_number": "757-252-2765",
            "fax_number": "757-252-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N MILITARY HWY STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023652",
            "telephone_number": "757-252-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 Glenrock Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023701",
            "country_code": "US",
            "telephone_number": "757-252-2765",
            "fax_number": "757-321-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-252-2760"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sentara Medical Group (Dedicated Care Center)
• Sentara Medical Group (Sentara Transplant Specialists)
• Sentara Medical Group (Sentara Internal Medicine Physicians)
• Sentara Medical Group
• Sentara Medical Group (Urology of Virginia)
• Sentara Medical Group (Urology of Virginia)
• Sentara Medical Group (Group for Internal Medicine)
• Sentara Medical Group (Sentara Hand Surgery Specialists)
• Sentara Medical Group (Sentara Occupational Medicine)
• Sentara Medical Group (Sentara Orthopedic Trauma Specialists)

• Family Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.