Individual provider Active NPI

Michel Guy Moreau, MD, ND

  • General Practice Physician
  • Virginia Beach, VA
National Provider Identifier
1316269285
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101266902 Issued in VA
Practice address
1004 First Colonial Rd Ste 102
Virginia Beach, VA 23454-3070
Phone
(757) 792-7150
Fax
(757) 707-8873
NPI assigned
Feb 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0990119265 VT
General Practice Physician 208D00000X 0101266902 VA Primary

Addresses

Primary practice location

1004 First Colonial Rd Ste 102
Virginia Beach, VA 23454-3070

Mailing address

1004 First Colonial Rd Ste 102
Virginia Beach, VA 23454-3070
Phone (757) 792-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 15, 2024 through May 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0990119265VTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Medicine LLC General Practice Current Accepting new patients
Health Integrative PLC Naturopath Past Accepting new patients

Locations

1004 First Colonial Rd
Ste 102
Virginia Beach, VA 23454
Phone (757) 233-1184

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1316269285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 FIRST COLONIAL RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543070",
            "telephone_number": "757-792-7150",
            "fax_number": "757-707-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 FIRST COLONIAL RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543070",
            "telephone_number": "757-792-7150",
            "fax_number": "757-707-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU",
        "first_name": "MICHEL",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "MD, ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "0990119265",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101266902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.