Hampton Roads Kidney & Internal Medicine LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

HAMPTON ROADS KIDNEY & INTERNAL MEDICINE LLC

Practice address

3800 Poplar Hill Rd Ste a
Chesapeake, VA 23321-5522

Phone

(757) 499-6978

Fax

(858) 925-1353

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Baher Basta, MDNPI 1538130257

Title

Owner

Phone

(757) 729-0924

Specialties & licenses 1

Addresses

Other names 1

• Hampton Roads Kidney and Internal Medicine, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, FL2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Baher A Basta, MD

  • Nephrology Physician
  • Chesapeake, VA
  • NPI 1538130257

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1457027344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 DEFORD RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234557208",
            "telephone_number": "757-499-6978",
            "fax_number": "858-925-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 POPLAR HILL RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215522",
            "telephone_number": "757-499-6978",
            "fax_number": "858-925-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS KIDNEY & INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "BASTA",
        "authorized_official_first_name": "BAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-729-0924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton Roads Kidney and Internal Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hampton Roads Kidney and Internal Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hampton Roads Clinical Pathology PLLC
• Hampton Roads Day Support and Life Skills Center LLC
• Hampton Roads Elite LLC
• Hampton Roads Family Services Inc.
• Hampton Roads Family Services LLC
• Hampton Roads Pathology Inc
• Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
• Hampton Roads Physical Therapy and Movement Center LLC
• Hampton Roads Psychiatry PLLC
• Hampton Roads Retina Center

• Nephrology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.