Active NPI
Gilles Momo Dongmo, MD
- Anesthesiology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 101278612
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 388-3000
- NPI assigned
- May 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 101278612 | VA | Primary |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
Other practice location 1
1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone (757) 395-8000
Other practice location 2
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
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
- Anesthesiology
- Education
- Virginia Commonwealth University, School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 E Main St
Suite 1300
Norfolk, VA 23510-1756
Phone (757) 567-8832
Hospital & facility affiliations
- Sentara Norfolk General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.23 of 100
- Quality
- 78.69
- Improvement activities
- 40
- Cost
- 74.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101278612 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Specialists, PTR | Anesthesiology | Current | Accepting new patients |
Locations
838 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6900
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
300 E Main St
Ste 1300
Norfolk, VA 23510
Phone (757) 567-8832
1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Norfolk, VA
- NPI 1013910330
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1467944926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3000"
}
],
"practiceLocations": [
{
"address_1": "1060 First Colonial Rd",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234543002",
"country_code": "US",
"telephone_number": "757-395-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-243-1455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONGMO",
"first_name": "GILLES",
"middle_name": "MOMO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "101278612",
"primary": true
}
],
"identifiers": [],
"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 May 9, 2023; 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.