Individual provider Active NPI

Amol Raizada

  • Interventional Cardiology Physician
  • Newport News, VA
National Provider Identifier
1467660597
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101262595 Issued in VA
Practice address
1031 Loftis Blvd Ste 100
Newport News, VA 23606-2981
Phone
(757) 736-9860
Fax
(757) 240-5537
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT183305 PA
Cardiovascular Disease Physician 207RC0000X 0101262595 VA
Interventional Cardiology Physician 207RI0011X 0101262595 VA Primary

Addresses

Primary practice location

1031 Loftis Blvd Ste 100
Newport News, VA 23606-2981

Mailing address

1031 Loftis Blvd Ste 100
Newport News, VA 23606-2981
Phone (757) 736-9860

Other practice location 1

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 852-5100

Other practice location 2

2790 Godwin Blvd Ste 100
Suffolk, VA 23434-8151
Phone (757) 983-8750

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
I20170929002976 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648366567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

400 Sentara Cir
320 Sentara Cardiology Specialists
Williamsburg, VA 23188-5716
Phone (757) 345-4800

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT183305PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Family Medicine CurrentSince Aug 21, 2017 Accepting new patients

Locations

1031 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 736-9860

11803 Jefferson Ave
Ste 205
Newport News, VA 23606
Phone (757) 736-9860

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700

2790 Godwin Blvd
Ste 100
Suffolk, VA 23434
Phone (757) 252-9365

400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300

Interoperability endpoints

  • Direct secure messaging: araizada309530@direct.sentara.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 5

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1467660597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 LOFTIS BLVD STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062981",
            "telephone_number": "757-736-9860",
            "fax_number": "757-240-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 LOFTIS BLVD STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062981",
            "telephone_number": "757-736-9860",
            "fax_number": "757-240-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Willow Grove St",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078401799",
            "country_code": "US",
            "telephone_number": "908-852-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Godwin Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348151",
            "country_code": "US",
            "telephone_number": "757-983-8750",
            "fax_number": "757-510-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIZADA",
        "first_name": "AMOL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT183305",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101262595",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101262595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.