Individual provider Active NPI

Nicholas Alexander Sarvella, PA-C

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1427880673
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010344 Issued in VA
Practice address
6160 Kempsville Cir # 120B
Norfolk, VA 23502-3933
Phone
(757) 481-4400
NPI assigned
Aug 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110010344 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir # 120B
Norfolk, VA 23502-3933

Mailing address

932 Brandermill Dr
Chesapeake, VA 23322-7768
Phone (757) 805-6694

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314001351 VA Practitioner - Physician Assistant 3577085976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous Center PCGroup PAC ID 4486699717, 8 clinicians

Practice addresses (Care Compare)

101 Technology Park Dr
Kilmarnock, VA 22482-3837
Phone (757) 481-4400

1800 Republic Rd
Suite 102
Virginia Beach, VA 23454-4546
Phone (757) 481-4400

6160 Kempsville Cir
Norfolk, VA 23502-3933

809 Greenbrier Pkwy
Suite 109
Chesapeake, VA 23320-3861
Phone (757) 481-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110010344VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Kapoor Research Institute LLC PastSince May 28, 2023 Accepting new patients
Orthovirginia, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nsarvella@wmrc.intellechartdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1427880673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 BRANDERMILL DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227768",
            "telephone_number": "757-805-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR # 120B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-481-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARVELLA",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.