NPIMap

Individual provider Active NPI

Rodrigo Luis Romulo, MD

  • Infectious Disease Physician
  • Chesapeake, VA
National Provider Identifier
1467565614
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101235722 Issued in VA
Practice address
713 Volvo Pkwy
Sutie 100
Chesapeake, VA 23320-1614
Phone
(757) 455-9036
Fax
(757) 455-9037
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101235722 VA Primary

Addresses

Primary practice location

713 Volvo Pkwy
Sutie 100
Chesapeake, VA 23320-1614

Mailing address

6161 Kempsville Cir Ste 220
Norfolk, VA 23502-3932
Phone (757) 455-9036

Other identifiers 1

IdentifierTypeStateIssuer
10116333MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000539 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3870561590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Atlantic Long Term Care Specialists LLC 13 clinicians
SE Virginia Value Based Care LLC 160 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Long Term Care Specialists LLC Infectious Disease CurrentSince Oct 1, 2020 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Infectious Disease CurrentSince Dec 1, 2018 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

736 Battlefield Blvd N
#325A
Chesapeake, VA 23320

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

4775 Bridge Rd
Suffolk, VA 23435
Phone (757) 686-0488

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.

Hospital & facility affiliations 12

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1467565614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 220",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-455-9036",
            "fax_number": "757-455-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 VOLVO PKWY",
            "address_2": "SUTIE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201614",
            "telephone_number": "757-455-9036",
            "fax_number": "757-455-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMULO",
        "first_name": "RODRIGO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101235722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10116333",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.