Organization Active NPI

Sentara Hospitals

  • General Acute Care Hospital
  • Suffolk, VA
National Provider Identifier
1376540138
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1869 Issued in VA
Legal business name
SENTARA HOSPITALS
Practice address
2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone
(757) 934-4000
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Melinda Summerlin Hancock
Title
Cfo
Phone
(757) 455-7458

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X
General Acute Care Hospital 282N00000X H1869 VA Primary

Addresses

Primary practice location

2800 Godwin Blvd
Suffolk, VA 23434-8038

Mailing address

1300 Sentara Park
Virginia Beach, VA 23464-5884

Other identifiers 1

IdentifierTypeStateIssuer
4900448MedicaidVA

Other names 1

  • Sentara Obici Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://urldefense.proofpoint.com/v2/url?u=https-3A__cobiusconnect.cobius.com-3A8291_Gateway_Documen Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050113000679 VA Part B Supplier - Clinic/Group Practice 3274424924 Receives reassigned benefits from 8 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia Beach, VA; Suffolk, VA; Norfolk, VA; Hampton, VA; Chesapeake, VA
O20061207000148 VA Part A Provider - Hospital 3274424924 Practice locations: Suffolk, VA; Wakefield, VA; Carrollton, VA
O20240402000538 VA Part B Supplier - Intensive Cardiac Rehabilitation 3274424924 Receives reassigned benefits from 1 practitioner
Practice locations: Suffolk, VA

Hospital certification: CCN 490044

Legal name
SENTARA HOSPITALS
Doing business as
SENTARA OBICI HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 8, 1994
Beds
168
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1942 in VA
Enrollment address
2800 Godwin Blvd
Suffolk, VA 23434-8038
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sentara Obici HospitalCCN 490044
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Sentara Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3920A Bridge Rd
Ste 100
Suffolk, VA 23435
Phone (757) 736-7496

2800 Godwin Blvd
Ste 230
Suffolk, VA 23434

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melinda Hancock Individual Corporate DirectorEvp & Cfo Jan 1, 2025
W-2 Managing Employee Jan 1, 2025
Dennis Matheis Individual Corporate Officer Sep 1, 2022
Corporate Director Sep 1, 2022
W-2 Managing EmployeePresident/Ceo Sep 1, 2022
Eric Conley Individual Corporate Officer Apr 29, 2024
Corporate Director Apr 29, 2024
W-2 Managing Employee Apr 29, 2024
Michelle L Allen Individual W-2 Managing EmployeePatient Accounts Manager Oct 28, 2022
Cathy W Darden Individual W-2 Managing Employee May 3, 2019
Sentara Health Organization, Virginia Beach, VA Non-profit 5% Or Greater Direct Ownership Interest Jan 25, 2023 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sentara Albemarle Regional Medical CenterElizabeth City, NC, CCN 340109 Hospital Operational/Managerial Control (100%) Mar 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Affiliated clinicians 1,169

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,169

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1376540138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "SUMMERLIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-455-7458"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4900448",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://urldefense.proofpoint.com/v2/url?u=https-3A__cobiusconnect.cobius.com-3A8291_Gateway_Documen",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sentara Obici Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sentara Obici Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.