Sean Michael Kuczma, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0102203988 Issued in VA

Practice address

1060 First Colonial Rd
Virginia Beach, VA 23454-3002

Phone

(757) 967-8622

Fax

(757) 686-0541

NPI assigned

Jul 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Hcare LLCGroup PAC ID 0941668677, 5 clinicians

Clark Alliance Services IncGroup PAC ID 8325475981, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Health Agency Home health agency, Chesapeake, VA, CCN 497580
• Trinity Hospice LLC Hospice, Chesapeake, VA, CCN 491641
• Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
• Select Specialty Hospital - Hampton Roads Long-term care hospital, Newport News, VA, CCN 492008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skuczma125359@direct.rivhs.com

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.

• Clark Alliance Services Inc

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1952892028
  Medicare reassignment Care Compare group NPD
• Hcare LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1942998067
  Medicare reassignment Care Compare group NPD
• Bayview Physician Services, PC

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1508813387
  Medicare reassignment NPD
• Bayview Physician Services, PC

  • Radiology Clinic/Center
  • Suffolk, VA
  • NPI 1699865626
  NPD
• Legacy Healthcare, Inc.

  • Skilled Nursing Facility
  • Virginia Beach, VA
  • NPI 1063792950
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ltach at Riverside, LLC

  • Long Term Care Hospital
  • Newport News, VA
  • NPI 1073571865

  Long-term care hospital

  Care Compare affiliation
• Medi Home Health Agency, Inc.

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1124071766
  Care Compare affiliation
• Riverside Hospital Inc

  • General Acute Care Hospital
  • Newport News, VA
  • NPI 1366547747
  Care Compare affiliation
• Trinity Hospice 1, LLC

  • Community Based Hospice Care Agency
  • Chesapeake, VA
  • NPI 1386263499
  Care Compare affiliation

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1538457221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-967-8622",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543002",
            "telephone_number": "757-967-8622",
            "fax_number": "757-686-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCZMA",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014360",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203988",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102203988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Yi Kuang
• Meagan Travers Kubat, PHARMD
• Michael Jan Kubat, LCSW
• Ted M Kubicki, M.D.
• Paula Charlene Kubovchik, MS, CCC, SLP
• Peter Gillen Kuenzli, DDS
• Zachary Gillen Kuenzli, D.D.S.
• Colin Kufao
• Heidi Amanda Kulberg, M.D., M.P.H.
• Kristi Marie Kuligowski, M.S.ED CF-SLP

• Internal Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.

Verify at the official NPI Registry.