Active NPI
Irene G. Restaino, M.D.
- Pediatric Nephrology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 0101048592
- Practice address
- 601 Childrens LN
Norfolk, VA 23507-1910 - Phone
- (757) 668-7244
- Fax
- (757) 668-9814
- NPI assigned
- May 26, 2006
- Last updated
- Jan 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 0101048592 | VA | Primary |
| Pediatrics Physician | 208000000X | 0101048592 | VA |
Addresses
Primary practice location
601 Childrens LN
Norfolk, VA 23507-1910
Mailing address
PO Box 79137
Baltimore, MD 21279-0137
Phone (757) 668-7200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006721966 | Medicaid | VA | |
| 0012193300005 | Medicaid | PA | |
| 698091100 | Medicaid | MD | |
| 9840886000 | Medicaid | WV |
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
- Nephrology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Childre's LN
Norfolk, VA 23507-1910
Phone (757) 668-7007
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Pediatrics | Current | Accepting new patients |
Locations
500 Discovery Dr
Chesapeake, VA 23320
Phone (757) 668-2311
11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673
2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Norfolk, VA
- NPI 1669137121
-
- Children's Hospital
- Norfolk, VA
- NPI 1912919481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1508812702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79137",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212790137",
"telephone_number": "757-668-7200",
"fax_number": "757-668-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CHILDRENS LN",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071910",
"telephone_number": "757-668-7244",
"fax_number": "757-668-9814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTAINO",
"first_name": "IRENE",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "VA",
"license": "0101048592",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101048592",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006721966",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012193300005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "698091100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9840886000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
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- Resplendent Home Care LLC
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- Resplendent Support Services LLC
- Rest Haven LLC
- Stephen C. Restaino, DO
- Restore Dental Center of Hampton Roads (ReStore Dental)
- Retina & Vitreous Center PC (Wagner Kapoor Institute)
- Retina Group of Tidewater PC
- Retinal Consultants Inc (mark j mccarthy md)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.