Individual provider Active NPI

Claude Donald Belgrave Jr., M.D.

  • Ophthalmology Physician
  • Suffolk, VA
National Provider Identifier
1376578138
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101053495 Issued in VA
Practice address
1200 N Main St
Suffolk, VA 23434
Phone
(757) 925-0495
NPI assigned
Jul 11, 2006
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101053495 VA Primary

Addresses

Primary practice location

1200 N Main St
Suffolk, VA 23434

Mailing address

1500 Armory Dr
Franklin, VA 23851-2452
Phone (757) 650-5965

Other practice location 1

1500 Armory Dr
Franklin, VA 23851-2452
Phone (757) 516-6446

Other identifiers 1

IdentifierTypeStateIssuer
6310915MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000011 VA Practitioner - Ophthalmology 7618957069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 N Main St
Suffolk, VA 23434-4321
Phone (757) 925-0495

1500 Armory Dr
Franklin, VA 23851-2452
Phone (757) 630-4704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101053495VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates PLLC Ophthalmology CurrentSince Jul 12, 2010 Accepting new patients

Locations

1500 Armory Dr
Franklin, VA 23851
Phone (757) 516-6446

1200 N Main St
Suffolk, VA 23434
Phone (757) 925-0477

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1376578138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ARMORY DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512452",
            "telephone_number": "757-650-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-925-0495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Armory Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "VA",
            "postal_code": "238512452",
            "country_code": "US",
            "telephone_number": "757-516-6446",
            "fax_number": "757-516-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELGRAVE",
        "first_name": "CLAUDE",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101053495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6310915",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.