Individual provider Active NPI

Michael W. Gen, M.D.

  • Interventional Cardiology Physician
  • Virginia Beach, VA
National Provider Identifier
1487623906
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101265990 Issued in VA
Practice address
100 Constitution Dr Ste 217
Virginia Beach, VA 23462-6799
Phone
(757) 963-7729
Fax
(757) 470-5665
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 0101265990 VA Primary
Internal Medicine Physician 207R00000X 0101265990 VA
Cardiovascular Disease Physician 207RC0000X 0101265990 VA
Nuclear Cardiology Physician 207UN0901X 0101265990 VA

Addresses

Primary practice location

100 Constitution Dr Ste 217
Virginia Beach, VA 23462-6799

Mailing address

100 Constitution Dr Ste 217
Virginia Beach, VA 23462-6799
Phone (757) 963-7729

Other practice location 1

12720 McManus Blvd Ste 305
Newport News, VA 23602-4414
Phone (757) 963-7729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040708000322 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Advanced Heart Failure and Transplant Cardiology 6800874785 Reassigns benefits to 2 organizations
I20210518001028 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6800874785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health Care and Wellness LLCGroup PAC ID 3678004579, 3 clinicians

Practice addresses (Care Compare)

100 Constitution Dr
Suite 217
Virginia Beach, VA 23462-6799
Phone (757) 963-7729

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting53
Pacemaker insertion or repair22
Varicose vein removal13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince Feb 18, 2010 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 1, 2021 Accepting new patients
Advanced Health Care and Wellness LLC Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Fairfax Loudoun OBGYN, Inc Interventional Cardiology CurrentSince Oct 1, 2023 Accepting new patients
Trinity Home Health Services CurrentSince Feb 18, 2010 Accepting new patients
Tidewater Physicians Multispecialty Group PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Cardiovascular Consultants of Fresno, a Professional Corporation Cardiovascular Disease CurrentSince Jul 5, 2004 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Feb 19, 2011 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Feb 19, 2011 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1207 E Herndon Ave
Fresno, CA 93720
Phone (559) 432-4303

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

827 Diligence Dr
Ste 100
Newport News, VA 23606

12720 McManus Blvd
Ste 305
Newport News, VA 23602
Phone (757) 947-3170

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

6275 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 222-0012

100 Constitution Dr
Ste 217
Virginia Beach, VA 23462
Phone (757) 963-7729

4417 Corporation Ln
Virginia Beach, VA 23462
Phone (757) 552-8851

5589 Greenwich Rd
Ste 100
Virginia Beach, VA 23462
Phone (757) 437-2882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.gen.1@31955.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 10

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1487623906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CONSTITUTION DR STE 217",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626799",
            "telephone_number": "757-963-7729",
            "fax_number": "757-470-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CONSTITUTION DR STE 217",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626799",
            "telephone_number": "757-963-7729",
            "fax_number": "757-470-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12720 McManus Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024414",
            "country_code": "US",
            "telephone_number": "757-963-7729",
            "fax_number": "757-470-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEN",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101265990",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101265990",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101265990",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "VA",
            "license": "0101265990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.