Individual provider Active NPI

Victor Romeo Clemente Adaniel, MD

  • Internal Medicine Physician
  • Farmville, VA
National Provider Identifier
1457665846
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101263718 Issued in VA
Practice address
502 Beech St
Farmville, VA 23901-1222
Phone
(434) 392-9438
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 0101263718 VA
Internal Medicine Physician 207R00000X 0101263718 VA Primary

Addresses

Primary practice location

502 Beech St
Farmville, VA 23901-1222

Mailing address

502 Beech St
Farmville, VA 23901-1222
Phone (434) 392-9438

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
I20190624003483 VA Practitioner - General PracticePractitioner - Internal Medicine 2668651977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

502 Beech St
Farmville, VA 23901-1222
Phone (434) 392-9438

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.41 of 100Reported as individual
Quality
83.49
Promoting interoperability
96
Improvement activities
40
Cost
47.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263718VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1366525040 CurrentSince May 27, 2022 Accepting new patients

Locations

502 Beech St
Farmville, VA 23901
Phone (434) 392-9438

Interoperability endpoints

  • Direct secure messaging: victor.adaniel@direct.carepointhealth.org
  • Direct secure messaging: victoradaniel@sppc.allscriptsdirect.net

Organizations & group practices 1

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 8

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1457665846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BEECH ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011222",
            "telephone_number": "434-392-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BEECH ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011222",
            "telephone_number": "434-392-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADANIEL",
        "first_name": "VICTOR",
        "middle_name": "ROMEO CLEMENTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101263718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.