Individual provider Active NPI

Lyzette Eileen Velazquez, MD

  • Neurology Physician
  • Norfolk, VA
National Provider Identifier
1356442941
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101260149 Issued in VA
Practice address
600 Gresham Dr Ste 8610
Norfolk, VA 23507-1904
Phone
(757) 252-9015
Fax
(757) 510-9041
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101260149 VA Primary

Addresses

Primary practice location

600 Gresham Dr Ste 8610
Norfolk, VA 23507-1904

Mailing address

600 Gresham Dr Ste 8610
Norfolk, VA 23507-1904
Phone (757) 252-9015

Other practice location 1

120 Kings Way Ste 2700
Riverside Neurology and Sleep Specialists
Williamsburg, VA 23185-2554
Phone (757) 221-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161117001390 VA Practitioner - Neurology 9931270535 Reassigns benefits to 2 organizations
I20221026000355 NC Practitioner - Neurology 9931270535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 252-9015

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101260149VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Neurology CurrentSince Sep 2, 2021 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jul 15, 2022 Accepting new patients
Albemarle Physician Services - Sentara, Inc Neurology CurrentSince Jul 15, 2022 Accepting new patients
Riverside Physician Services, Inc. Neurology CurrentSince Sep 18, 2016 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 18, 2016 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

600 Gresham Dr
Ste 8610
Norfolk, VA 23507
Phone (757) 252-9015

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

120 Kings Way
Ste 2700
Williamsburg, VA 23185
Phone (757) 221-0110

Interoperability endpoints

  • Direct secure messaging: lvelazquez633339@direct.sentara.net
  • Direct secure messaging: lyzette.velazquez@direct.hvhc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1356442941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8610",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8610",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Kings Way Ste 2700",
            "address_2": "RIVERSIDE NEUROLOGY AND SLEEP SPECIALISTS",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852554",
            "country_code": "US",
            "telephone_number": "757-221-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LYZETTE",
        "middle_name": "EILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101260149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.