Active NPI
Antonio Quidgley-Nevares, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0101231877
- Practice address
- 721 Fairfax Ave
3Rd Floor
Norfolk, VA 23507-2007 - Phone
- (757) 446-5915
- Fax
- (757) 446-5969
- NPI assigned
- Feb 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 0101231877 | VA | Primary |
Addresses
Primary practice location
721 Fairfax Ave
3Rd Floor
Norfolk, VA 23507-2007
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-5915
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -017 | Other | VA | TRICARE/CHAMPUS |
| 010065801 | Medicaid | VA | |
| 06678 | Other | NC | BC/BS |
| 10007083 | Other | VA | SENTARA/OPTIMA |
| 139142 | Other | VA | ANTHEM |
| PAR | Other | VA | CIGNA |
| PAR | Other | VA | AETNA |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY |
| 8906678 | Medicaid | NC | |
| 76226 | Other | VA | SENTARA |
| PAR | Other | VA | CORVEL/CORCARE |
| PAR | Other | VA | VIRGINIA PREMIER HEALTH |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
| 3117723 | Other | VA | UHC/MAMSI |
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
- Physical Medicine and Rehabilitation
- Education
- University of Puerto Rico School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 Loftis Blvd
Suite 201
Newport News, VA 23606-2999
Phone (757) 310-6413
721 Fairfax Ave
Norfolk, VA 23507-2007
Phone (757) 446-5915
Hospital & facility affiliations
- @Heart Hospice
- Sentara Careplex Hospital
- Sentara Leigh Hospital
- Riverside Regional Medical Center
- Sentara Princess Anne Hospital
- Sentara Norfolk General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Invictus Health LLC | Current | Accepting new patients | |
| Evms Academic Physicians and Surgeons Health Services Foundation | Current | Accepting new patients | |
| Childrens Specialty Group PLLC | Past | Accepting new patients | |
| JP Therapy, LLC | Past | Accepting new patients |
Locations
1030 Loftis Blvd
Ste 201
Newport News, VA 23606
Phone (757) 310-6413
721 Fairfax Ave
Fl 3
Norfolk, VA 23507
Phone (757) 446-5915
721 Fairfax Ave
Norfolk, VA 23507
Phone (757) 446-5955
825 Fairfax Ave
Ste 445
Norfolk, VA 23507
Phone (757) 446-5758
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFACCD
- antonio.quidgley-nevares.1@31849.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
-
- Pain Medicine Physician
- Newport News, VA
- NPI 1104398205
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Virginia Beach, VA
- NPI 1023554946
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1467428375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-5915",
"fax_number": "757-446-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 FAIRFAX AVE",
"address_2": "3RD FLOOR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235072007",
"telephone_number": "757-446-5915",
"fax_number": "757-446-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIDGLEY-NEVARES",
"first_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "VA",
"license": "0101231877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-017",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010065801",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "06678",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "10007083",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "139142",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8906678",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "76226",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "3117723",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.