Active NPI
Philip John Gentlesk, M.D.
- Clinical Cardiac Electrophysiology Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 0101247596
- Practice address
- 301 Riverview Ave Ste 700
Norfolk, VA 23510-1065 - Phone
- (757) 252-9365
- Fax
- (757) 962-7217
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | M2328 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | MD421833 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 0101247596 | VA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | M2328 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD421833 | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 0101247596 | VA | Primary |
Addresses
Primary practice location
301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Mailing address
301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Phone (757) 252-9365
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10065070 | Other | VA | SENTARA OPTIMA HEALTH (EVMS HEALTH SERVICES) |
| 189409901 | Medicaid | TX | |
| 1528059862 | Medicaid | VA |
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
- Cardiac Electrophysiology
- Education
- Georgetown University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Medical Pkwy
Suite 120
Chesapeake, VA 23320-4985
Phone (757) 252-5660
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Princess Anne Hospital
- Sentara Virginia Beach General Hospital
- Sentara Leigh Hospital
- Sentara Obici Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD421833 | PA | MD | Cardiovascular Disease Physician |
| M2328 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Cardiology Consultants, LTD | Cardiovascular Disease | Past | Accepting new patients |
| San Antonio Cardiology Clinic PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
300 Medical Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 252-5660
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700
301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
Interoperability endpoints
- pgentlesk978@direct.sentara.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Virginia Beach, VA
- NPI 1821024597
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1326073206
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1528059862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 700",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-252-9365",
"fax_number": "757-962-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 700",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-252-9365",
"fax_number": "757-962-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTLESK",
"first_name": "PHILIP",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "M2328",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD421833",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101247596",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "M2328",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PA",
"license": "MD421833",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "VA",
"license": "0101247596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA HEALTH (EVMS HEALTH SERVICES)",
"identifier": "10065070",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189409901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528059862",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.