Individual provider Active NPI

Michelle L Bartimoccia, MD

  • Pediatrics Physician
  • Virginia Beach, VA
National Provider Identifier
1376562926
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101235698 Issued in VA
Practice address
2088 Princess Anne Rd
Virginia Beach, VA 23456-4014
Phone
(757) 668-6700
Fax
(757) 668-6680
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101235698 VA Primary

Addresses

Primary practice location

2088 Princess Anne Rd
Virginia Beach, VA 23456-4014

Mailing address

2088 Princess Anne Rd
Virginia Beach, VA 23456-4014
Phone (757) 668-6700

Other identifiers 7

IdentifierTypeStateIssuer
10037697MedicaidVA
102694OtherANTHEM BCBS,HK,HK,FAMIS
7868530OtherVAAETNA
541778786OtherNCNC HEALTH
5417787860687EOtherVACIGNA
2119616OtherUHC,ALLIANCE,MDIPA,MAMSI
36474OtherVAOPTIMA, FAMCARE,FAMIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Medical Group Inc Pediatrics CurrentSince Dec 10, 2023 Accepting new patients

Locations

171 Kempsville Rd
Bldg B
Norfolk, VA 23502
Phone (757) 668-6500

2117 McComas Way
Ste 103
Virginia Beach, VA 23456
Phone (757) 668-6715

2021 Concert Dr
Ste 201
Virginia Beach, VA 23456
Phone (757) 668-6700

Organizations & group practices 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1376562926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564014",
            "telephone_number": "757-668-6700",
            "fax_number": "757-668-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564014",
            "telephone_number": "757-668-6700",
            "fax_number": "757-668-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTIMOCCIA",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101235698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10037697",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS,HK,HK,FAMIS",
            "identifier": "102694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7868530",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH",
            "identifier": "541778786",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5417787860687E",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC,ALLIANCE,MDIPA,MAMSI",
            "identifier": "2119616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA, FAMCARE,FAMIS",
            "identifier": "36474",
            "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 Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.