Active NPI
Ilya J. Sobol, MD
- Urology Physician
- Virginia Beach, VA
National Provider Identifier
1447513353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101264201
- Practice address
- 225 Clearfield Ave
Virginia Beach, VA 23462 - Phone
- (757) 457-5100
- Fax
- (757) 452-3402
- NPI assigned
- Jun 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101264201 | VA | Primary |
| Urology Physician | 208800000X | 56726 | MN |
Addresses
Primary practice location
225 Clearfield Ave
Virginia Beach, VA 23462
Mailing address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447513353 | Medicaid | VA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Rutgers New Jersey Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7185 Harbour Towne Pkwy S
Suite 200
Suffolk, VA 23435-3796
Phone (757) 457-5100
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
- Sentara Norfolk General Hospital
- Sentara Obici Hospital
- Chesapeake General Hospital
- Sentara Princess Anne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.25 of 100
- Quality
- 57.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Virginia, PLLC | Urology | Current | Accepting new patients |
| Urology of Virginia, PLLC | Urology | Current | Accepting new patients |
Locations
7185 Harbour Towne Pkwy S
Ste 200
Suffolk, VA 23435
225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459
Interoperability endpoints
- isobol1155947@direct.bsmhealth.org
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 and National Provider Directory roles.
-
- Urology Physician
- Virginia Beach, VA
- NPI 1982994117
-
- Urology Physician
- Virginia Beach, VA
- NPI 1568250504
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1447513353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-457-5100",
"fax_number": "757-452-3402"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBOL",
"first_name": "ILYA",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101264201",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "56726",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447513353",
"state": "VA"
}
],
"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 Jun 12, 2019; 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.