Individual provider Active NPI

David Besachio, D.O.

  • Diagnostic Radiology Physician
  • Portsmouth, VA
National Provider Identifier
1508837600
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0102201312 Issued in VA
Practice address
620 John Paul Jones Cir
Attn: Dept of Radiology
Portsmouth, VA 23708-2197
Phone
(757) 953-1630
Fax
(757) 953-7327
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 0102201312 VA
Diagnostic Radiology Physician 2085R0202X 0102201312 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Attn: Dept of Radiology
Portsmouth, VA 23708-2197

Mailing address

620 John Paul Jones Cir
Attn: Dept of Radiology
Portsmouth, VA 23708-2197
Phone (757) 953-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220915002054 TN Practitioner - Diagnostic Radiology 0345370128 Reassigns benefits to 1 organization
I20251006003153 MS Practitioner - Diagnostic Radiology 0345370128 Reassigns benefits to 8 organizations
I20260425000311 FL Practitioner - Diagnostic Radiology 0345370128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Pre Op and Imaging Center LLCGroup PAC ID 0840444998, 20 clinicians
Imaging Centers for Excellence, LLCGroup PAC ID 6406854538, 17 clinicians
Imaging Center at Gloster Creek Village PLLCGroup PAC ID 5991771255, 20 clinicians
Tate County HospitalGroup PAC ID 6103282165, 35 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Choctaw Regional Medical CenterGroup PAC ID 2567682206, 39 clinicians
Medical Imaging, LLCGroup PAC ID 5698731271, 20 clinicians

Practice addresses (Care Compare)

1202 Office Park Dr
Suite a
Oxford, MS 38655-5267
Phone (662) 234-5545

1207 Hwy 182 W
Suite a
Starkville, MS 39759-9013
Phone (662) 320-6800

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 773-6211

320 S Gloster St
Tupelo, MS 38801-4748
Phone (662) 841-7880

3509 Hwy 4 W
Sarah, MS 38665-3567
Phone (662) 612-0311

401 Getwell Dr
Senatobia, MS 38668-2213
Phone (662) 612-0311

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550

830 S Gloster St
Radiology Consultants
Tupelo, MS 38801-4934
Phone (662) 377-3000

8613 Ms Hwy 12
Ackerman, MS 39735-8917
Phone (662) 285-9460

891 Mississippi Dr
Tupelo, MS 38804-0934
Phone (662) 377-6800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
Choctaw Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Tate County Hospital CurrentSince Nov 1, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Choctaw Regional Medical Center Current Accepting new patients
Wave Diagnostics LLC CurrentSince Jul 1, 2025 Accepting new patients
Oxford Pre Op & Imaging Center LLC CurrentSince Oct 1, 2025 Accepting new patients
Premier Radiology, Inc Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Medical Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Imaging Center at Gloster Creek Village PLLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Choctaw Regional Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Winston County Medical Foundation CurrentSince Dec 15, 2025 Accepting new patients
Tate County Hospital Current Accepting new patients
Las Cruces Physician Services LLC Diagnostic Radiology Past Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

1202 Office Park Dr
Ste A
Oxford, MS 38655
Phone (662) 234-5545

3509 Highway 4 W
Sarah, MS 38665
Phone (662) 612-0311

620 Crossover Rd
Tupelo, MS 38801
Phone (662) 620-7101

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

320 S Gloster St
Tupelo, MS 38801
Phone (662) 821-1831

891 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-6800

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1508837600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "ATTN: DEPT OF RADIOLOGY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197",
            "telephone_number": "757-953-1630",
            "fax_number": "757-953-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "ATTN: DEPT OF RADIOLOGY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197",
            "telephone_number": "757-953-1630",
            "fax_number": "757-953-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESACHIO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0102201312",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102201312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.