Individual provider Active NPI

Tara S Buehler-Bota, M.D.

  • Dermatology Physician
  • Virginia Beach, VA
National Provider Identifier
1396007787
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101260736 Issued in VA
Practice address
1248 Perimeter Pkwy Ste 482
Virginia Beach, VA 23454-5914
Phone
(757) 622-6315
NPI assigned
Jun 12, 2012
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101260736 VA Primary

Addresses

Primary practice location

1248 Perimeter Pkwy Ste 482
Virginia Beach, VA 23454-5914

Mailing address

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315

Other practice location 1

3907 Bridge Rd Ste 200
Suffolk, VA 23435-1133
Phone (757) 622-6315

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
I20161116002952 VA Practitioner - Dermatology 2668637141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pariser Dermatology Specialists LTDGroup PAC ID 7113902925, 33 clinicians

Practice addresses (Care Compare)

6160 Kempsville Cir
Suite 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
80.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1812
Removal or shaving of skin growth33
Skin biopsy480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34645SCMDProsthetics Case Management
0101260736VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pariser Dermatology Specialists LTD Dermatology CurrentSince Apr 1, 2018 Accepting new patients
Dr Jean M Clay, PC Past Accepting new patients

Locations

11842 Rock Landing Dr
Ste 120
Newport News, VA 23606
Phone (757) 595-8816

6160 Kempsville Cir
Ste 200A
Norfolk, VA 23502

3907 Bridge Rd
Ste 200
Suffolk, VA 23435
Phone (757) 745-7261

1248 Perimeter Pkwy
Ste 482
Virginia Beach, VA 23454
Phone (757) 496-5085

207 Bulifants Blvd
#207
Williamsburg, VA 23188
Phone (757) 564-8535

Interoperability endpoints

  • Direct secure messaging: tarabuehler-bota@pdsltd.allscriptsdirect.net

Organizations & group practices 2

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1396007787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 PERIMETER PKWY STE 482",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545914",
            "telephone_number": "757-622-6315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3907 Bridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351133",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUEHLER-BOTA",
        "first_name": "TARA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101260736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.