NPIMap

Individual provider Active NPI

Joseph E Vaccarella, MD

  • Family Medicine Physician
  • Chesapeake, VA
National Provider Identifier
1366417727
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049827 Issued in VA
Practice address
1419 Cedar Rd
Suite 101
Chesapeake, VA 23322-7492
Phone
(757) 842-6180
Fax
(757) 842-6181
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049827 VA Primary

Addresses

Primary practice location

1419 Cedar Rd
Suite 101
Chesapeake, VA 23322-7492

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3516

Other identifiers 1

IdentifierTypeStateIssuer
005616620MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000210 VA Practitioner - Family Practice 1557432291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

1419 Cedar Rd
Chesapeake, VA 23322-7492
Phone (757) 842-6180

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions40
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Family Medicine CurrentSince Nov 1, 2008 Accepting new patients
Bayview Physician Services, PC CurrentSince Nov 1, 2008 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Maryview Hospital Past Accepting new patients

Locations

1419 Cedar Rd
Chesapeake, VA 23322
Phone (757) 842-6180

1419 Cedar Rd
Ste 100
Chesapeake, VA 23322
Phone (757) 319-4911

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

1419 Cedar Rd
Ste 101
Chesapeake, VA 23322
Phone (757) 842-6180

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

Interoperability endpoints

  • Direct secure messaging: joseph.vaccarella@bayview.eclinicaldirectplus.com

Organizations & group practices 4

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 9

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1366417727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3516",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 CEDAR RD",
            "address_2": "SUITE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227492",
            "telephone_number": "757-842-6180",
            "fax_number": "757-842-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARELLA",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005616620",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.