Individual provider Active NPI

Ronald Mejzak, DO

  • Addiction Medicine (Anesthesiology) Physician
  • Virginia Beach, VA
National Provider Identifier
1447228507
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
0102206162 Issued in VA
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

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080423000009 IL Practitioner - Anesthesiology 1850357286 Reassigns benefits to 1 organization
I20200806003086 VA Practitioner - AnesthesiologyPractitioner - Addiction Medicine 1850357286 Reassigns benefits to 3 organizations
Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Addiction Medicine
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
First Hospital Corporation of Virginia BeachGroup PAC ID 5991797581, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Oct 9, 2019 Accepting new patients
Signify Health, LLC CurrentSince Dec 1, 2021 Accepting new patients
Sanctyouary CurrentSince Jun 12, 2026 Accepting new patients
First Hospital Corporation of Virginia Beach CurrentSince Nov 23, 2020 Accepting new patients
Haverford Anesthesia Associates-NJ, P.C. Anesthesiology Past Accepting new patients
Professional Anesthesia Consultants, PC Anesthesiology PastSince Jan 2, 2005 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.

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

Verify at the official NPI Registry.