Active NPI
Peter D L Paik, MD
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1285764399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101241936
- Practice address
- 1060 First Colonial Rd
Virginia Beach, VA 23454-3002 - Phone
- (757) 395-2323
- Fax
- (757) 395-6280
- NPI assigned
- Mar 7, 2007
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101241936 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 0101241936 | VA |
Addresses
Primary practice location
1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Mailing address
1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone (757) 395-2323
Other practice location 1
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285764399 | Medicaid | VA | |
| P00423596 | Other | VA | RAILROAD MEDICARE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Eastern Virginia Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 395-2323
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241936 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Family Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Past | Accepting new patients |
| Maryview Hospital | Past | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Virginia Orthopaedic & Spine Specialists
- Orthopaedic Surgery Physician
- Suffolk, VA
- NPI 1831426204
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Virginia Beach General Hospital
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1285764399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 FIRST COLONIAL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543002",
"telephone_number": "757-395-2323",
"fax_number": "757-395-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 FIRST COLONIAL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543002",
"telephone_number": "757-395-2323",
"fax_number": "757-395-6280"
}
],
"practiceLocations": [
{
"address_1": "3636 High St",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237073236",
"country_code": "US",
"telephone_number": "757-398-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAIK",
"first_name": "PETER",
"middle_name": "D L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101241936",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101241936",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285764399",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00423596",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.