Individual provider Active NPI

Caleb John Podraza, MD

  • Neonatal-Perinatal Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1528039328
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
0101238551 Issued in VA
Practice address
Naval Medical Center Department of Pediatrics
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone
(757) 953-7716
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 0101238551 VA Primary
Pediatrics Physician 208000000X 0101238551 VA

Addresses

Primary practice location

Naval Medical Center Department of Pediatrics
620 John Paul Jones Circle
Portsmouth, VA 23708

Mailing address

1424 Chesapeake Ave
Chesapeake, VA 23324-2204
Phone (757) 953-7716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, OR2 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
I20231027003025 DC Practitioner - Pediatric Medicine 3173707734 Reassigns benefits to 1 organization
I20260428002143 OR Practitioner - Pediatric Medicine 3173707734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 Stearns Way SPC
14A
Medford, OR 97501-1921

2825 E Barnett Rd
Medford, OR 97504-8332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238551VAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Sep 12, 2023 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Sep 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1528039328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 CHESAPEAKE AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242204",
            "telephone_number": "757-953-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER DEPARTMENT OF PEDIATRICS",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRAZA",
        "first_name": "CALEB",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0101238551",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101238551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.