NPIMap

Organization Active NPI

Hampton Roads Pathology Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Chesapeake, VA
National Provider Identifier
1497712756
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
HAMPTON ROADS PATHOLOGY INC
Practice address
736 Battlefield Blvd N
Chesapeake General Hospital
Chesapeake, VA 23320-4906
Phone
(757) 312-8121
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Dr. Lionel Newman Jacob, MDNPI 1689679342
Title
President
Phone
(757) 312-8121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

736 Battlefield Blvd N
Chesapeake General Hospital
Chesapeake, VA 23320-4906

Mailing address

PO Box 1295
Bluefield, WV 24701-1295
Phone (304) 323-4320

Other identifiers 3

IdentifierTypeStateIssuer
890179JMedicaidNC
0179JOtherNCBCBS NC
C03497OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041227000337 VA Part B Supplier - Clinic/Group Practice 9032177894 Receives reassigned benefits from 4 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

6100 Waterford District Dr
Ste 450
Miami, FL 33126

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1497712756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011295",
            "telephone_number": "304-323-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BATTLEFIELD BLVD N",
            "address_2": "CHESAPEAKE GENERAL HOSPITAL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204906",
            "telephone_number": "757-312-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "NEWMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-312-8121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890179J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0179J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C03497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.