Active NPI
Ronald Mejzak, DO
- Addiction Medicine (Anesthesiology) Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- 0102206162
- Practice address
- 4509 Whitechapel Dr
Virginia Beach, VA 23455-6447 - Phone
- (757) 460-4655
- Fax
- (757) 460-7744
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MB07691800 | NJ | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 0102206162 | VA | Primary |
Addresses
Primary practice location
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Mailing address
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655
Other practice location 1
1505 Sherman Ave
Vineland, NJ 08360
Phone (856) 641-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 1St Colonial Rd
Virginia Beach, VA 23454-2403
Phone (757) 496-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Sanctyouary | Current | Accepting new patients | |
| First Hospital Corporation of Virginia Beach | Current | Accepting new patients | |
| Haverford Anesthesia Associates-NJ, P.C. | Anesthesiology | Past | Accepting new patients |
| Professional Anesthesia Consultants, PC | Anesthesiology | Past | Accepting new patients |
| Hamilton Gastroenterology Group, P.C. | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240
900 Commonwealth Pl
Ste 2001020
Virginia Beach, VA 23464
Phone (757) 749-8507
Organizations & group practices 7
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.
-
- Psychiatric Hospital
- Virginia Beach, VA
- NPI 1326071093
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1588440119
-
- Specialist
- Hamilton, NJ
- NPI 1619924990
-
- Anesthesiology Physician
- Elmer, NJ
- NPI 1538112537
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1841273869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1447228507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 WHITECHAPEL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556447",
"telephone_number": "757-460-4655",
"fax_number": "757-460-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 WHITECHAPEL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556447",
"telephone_number": "757-460-4655",
"fax_number": "757-460-7744"
}
],
"practiceLocations": [
{
"address_1": "1505 Sherman Ave",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "08360",
"country_code": "US",
"telephone_number": "856-641-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEJZAK",
"first_name": "RONALD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB07691800",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "VA",
"license": "0102206162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.