Individual provider Active NPI

Kathleen Hess Anderson, MD

  • Emergency Medicine Physician
  • Norfolk, VA
National Provider Identifier
1487622502
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101052842 Issued in VA
Practice address
830 Kempsville Rd
Norfolk, VA 23502-3920
Phone
(757) 466-2325
Fax
(757) 466-2347
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 0101052842 VA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 0101052842 VA
Emergency Medicine Physician 207P00000X 0101052842 VA Primary

Addresses

Primary practice location

830 Kempsville Rd
Norfolk, VA 23502-3920

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (513) 834-7063

Other practice location 1

101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523
Phone (513) 834-7063

Other identifiers 1

IdentifierTypeStateIssuer
005850258MedicaidVA

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
I20111012000192 VA Practitioner - Emergency Medicine 8224931605 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of TidewaterGroup PAC ID 5092618462, 167 clinicians
Inspiration Health Addiction Treatment Center, LLCGroup PAC ID 1759773484, 6 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 686-3508

1729 Wildwood Dr
Suite 103
Virginia Beach, VA 23454-3176
Phone (757) 938-3654

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 686-3508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100Reported as group
Quality
95.04
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Hospitals CurrentSince Jan 27, 2025 Accepting new patients
Sentara Hospitals CurrentSince Jan 27, 2025 Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Jul 8, 2022 Accepting new patients
Emergency Physicians of Tidewater Emergency Medicine CurrentSince Jul 1, 1998 Accepting new patients
Inspiration Health Addiction Treatment Center, LLC Addiction Medicine CurrentSince Jan 27, 2025 Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Jul 8, 2022 Accepting new patients
Hyperbaric Physician Services LLC Undersea and Hyperbaric Medicine Past Accepting new patients
WCS Professional Services of Virginia, LLC Emergency Medicine Past Accepting new patients
Hyperbaric Physician Services LLC Undersea and Hyperbaric Medicine Past Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

3704 Old Forest Rd
Lynchburg, VA 24501

11803 Jefferson Ave
Ste 120
Newport News, VA 23606
Phone (757) 594-1060

11803 Jefferson Ave
#120
Newport News, VA 23606
Phone (757) 594-1060

1711 Church St
Ste B
Norfolk, VA 23504
Phone (757) 590-4428

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

1729 Wildwood Dr
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-3179

1060 First Colonial Rd
#1
Virginia Beach, VA 23454
Phone (757) 395-8844

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1487622502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-466-2325",
            "fax_number": "757-466-2347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Lynnhaven Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527523",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "HESS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "VA",
            "license": "0101052842",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101052842",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101052842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005850258",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.