Active NPI
Susana Villate Prieto, MD
- Family Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101269901
- Practice address
- 155 Kingsley LN Ste 400
Norfolk, VA 23505-4629 - Phone
- (757) 278-2240
- NPI assigned
- May 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0101269901 | VA | Primary |
Addresses
Primary practice location
155 Kingsley LN Ste 400
Norfolk, VA 23505-4629
Mailing address
2728 W Hannon Hill Dr
Tallahassee, FL 32309-8944
Other practice location 1
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 360-6346
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 Kingsley LN
Norfolk, VA 23505-4629
Phone (757) 278-2240
3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225
930 W 21St St
Suite 100
Norfolk, VA 23517-1516
Phone (757) 622-8358
Hospital & facility affiliations
- Sentara Homecare Services
- Bon Secours Maryview Medical Center
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Primary Care LLC | Current | Accepting new patients |
Locations
155 Kingsley Ln
Ste 400
Norfolk, VA 23505
Phone (757) 278-2240
3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797
Interoperability endpoints
- svillateprieto1156637@direct.bsmhealth.org
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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1528627379
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- Home Health Agency
- Chesapeake, VA
- NPI 1992741060
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1285161828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 W HANNON HILL DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323098944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 KINGSLEY LN STE 400",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054629",
"telephone_number": "757-278-2240"
}
],
"practiceLocations": [
{
"address_1": "1044 N Francisco Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606222743",
"country_code": "US",
"telephone_number": "773-360-6346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLATE PRIETO",
"first_name": "SUSANA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-14",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101269901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.