Individual provider Active NPI

Dino Beduya

  • Gastroenterology Physician
  • Newport News, VA
National Provider Identifier
1457558348
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101260375 Issued in VA
Practice address
11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390
Phone
(757) 534-7701
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD2013-0713 NM
Gastroenterology Physician 207RG0100X 0101260375 VA Primary

Addresses

Primary practice location

11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390

Mailing address

10770 Columbia Pike Ste 400
Silver Spring, MD 20901-4462
Phone (215) 589-9012

Other practice location 1

217 Bulifants Blvd Ste B
Williamsburg, VA 23188-5751
Phone (757) 534-7701

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025000863 VA Practitioner - Gastroenterology 7618166166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

11803 Jefferson Ave
Suite 230
Newport News, VA 23606-4390
Phone (757) 534-7701

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care LLC Gastroenterology CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Oct 16, 2021 Accepting new patients
Gastrointestinal and Liver Specialists of Tidewater, PLLC Current Accepting new patients
Gastroenterology Diagnostics of Northern New Jersey, PA Gastroenterology PastSince Jun 1, 2022 Accepting new patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology PastSince Jun 1, 2015 Accepting new patients
Capital Digestive Care ,LLC Gastroenterology Past Accepting new patients

Locations

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

217 Bulifants Blvd
Ste B
Williamsburg, VA 23188
Phone (757) 534-7701

Interoperability endpoints

  • FHIR API: https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1457558348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014462",
            "telephone_number": "215-589-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 230",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-534-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Bulifants Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885751",
            "country_code": "US",
            "telephone_number": "757-534-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDUYA",
        "first_name": "DINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2013-0713",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101260375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.