Active NPI
Almotasembellah Mohammad H Aljaafareh, MD
- Critical Care Medicine (Internal Medicine) Physician
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 0101264264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180808000394 | VA | Practitioner - Pulmonary Disease | 7618284431 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sentara Medical Group
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
- Sentara Norfolk General Hospital
- Sentara Williamsburg Regional Medical Center
- Sentara Obici Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10043720 | TX | MD | Internal Medicine Physician |
| 0101264264 | VA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Virginia Beach, VA
- NPI 1053350322
-
- Diagnostic Radiology Physician
- Chesapeake, VA
- NPI 1487195111
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.