David Daniel Alcantara, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Portsmouth, VA
NPI 1508022351 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1508022351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 0101258337 (VA)
- Practice address
- 1040 University Blvd
Mast One Suite 200
Portsmouth, VA 23703 - Phone
- (757) 397-6930
- Fax
- (757) 393-4864
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Virginia Commonwealth University, School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bon Secours Medical Group Hampton Roads Specialty Care LLC
Practice addresses (Care Compare)
1040 University Blvd
Portsmouth, VA 23703-2650
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
- Bon Secours Harbour View Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151124001294 | VA | Practitioner - Physical Medicine and Rehabilitation | 0244489961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101258337 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current |
Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current |
Accepting new patients |
Locations
930 W 21st St
Ste 100
Norfolk, VA 23517
Phone (757) 622-8358
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350
1040 University Blvd
Ste 200
Portsmouth, VA 23703
Phone (757) 397-6930
5838 Harbour View Blvd
Ste 100
Suffolk, VA 23435
Phone (757) 483-0407
7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784
2012 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-1477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101258337 | VA | Yes |
Addresses
Primary practice location
1040 University Blvd
Mast One Suite 200
Portsmouth, VA 23703
Mailing address
7007 Harbour View Blvd
Suite 108
Suffolk, VA 23435-3657
Phone (757) 215-2784
Other providers in Portsmouth, VA
- Vivica Al-Haleem
- Karen Al-Koshnaw
- Alabaster Counseling LLC
- Adeniyi Alatise
- Maria Alavanja
- Dennis Michael Alder
- Debra J Aleck
- Olivia Y Alegre - Ipanag
- John Emery Alex
- Brian Andrew Alexander
All providers in Portsmouth, VA · Physical Medicine & Rehabilitation Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.