Robert C Radin, M.D.

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

0101030626 Issued in VA

Practice address

3386 Holland Rd
Suite 202
Virginia Beach, VA 23452-4818

Phone

(757) 468-6058

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1265493365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EASTWIND CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643111",
            "telephone_number": "757-467-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 HOLLAND RD",
            "address_2": "SUITE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524818",
            "telephone_number": "757-468-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "VA",
            "license": "0101030626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006037500",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie M Radford, SLP
• Radhika a Manhapra MD PLLC
• Radiance Wellness, LLC
• Radiant Flux PLLC
• Nicholas Radike, DPT, PT
• Radiology Specialists PC
• Gauri V Radkar, D.O.
• Gloria Radloff
• June Raehl, FNP-BC
• Denesia Kelsey Ragbeer

• Allergy & Immunology (Internal Medicine) Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Allergy & Immunology (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.