Individual provider Active NPI

Almotasembellah Mohammad H Aljaafareh, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Hampton, VA
National Provider Identifier
1376890731
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
0101264264 Issued in VA
Practice address
4000 Coliseum Dr Ste 320
Hampton, VA 23666-5983
Phone
(757) 827-2350
Fax
(757) 510-9383
NPI assigned
Aug 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10043720 TX
Pulmonary Disease Physician 207RP1001X 0101264264 VA
Pulmonary Disease Physician 207RP1001X BP10043720 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101264264 VA Primary

Addresses

Primary practice location

4000 Coliseum Dr Ste 320
Hampton, VA 23666-5983

Mailing address

4000 Coliseum Dr Ste 320
Hampton, VA 23666-5983
Phone (757) 827-2350

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-8734

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
I20180808000394 VA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7618284431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical Group 1,396 clinicians

Practice addresses (Care Compare)

1975 Glenn Mitchell Dr
Suite 202
Virginia Beach, VA 23456-0167
Phone (757) 507-8610

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10043720TXMDInternal Medicine Physician
0101264264VAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients

Locations

4000 Coliseum Dr
Ste 320
Hampton, VA 23666
Phone (757) 827-2350

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

1975 Glenn Mitchell Dr
Ste 202
Virginia Beach, VA 23456
Phone (757) 507-8610

Interoperability endpoints

  • Direct secure messaging: aaljaafareh428455@direct.sentara.net

Organizations & group practices 3

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 5

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": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1376890731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 320",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665983",
            "telephone_number": "757-827-2350",
            "fax_number": "757-510-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 320",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665983",
            "telephone_number": "757-827-2350",
            "fax_number": "757-510-9383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-273-8734",
            "fax_number": "352-273-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALJAAFAREH",
        "first_name": "ALMOTASEMBELLAH",
        "middle_name": "MOHAMMAD H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-04",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10043720",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101264264",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "BP10043720",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101264264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.