Individual provider Active NPI

Michael L. Speckhart, MD

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1548229180
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101241054 Issued in VA
Practice address
830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Phone
(757) 261-8070
Fax
(757) 995-7095
NPI assigned
Mar 22, 2006
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003-01057 NC
Internal Medicine Physician 207R00000X 0101241054 VA Primary
Hospitalist Physician 208M00000X 0101241054 VA

Addresses

Primary practice location

830 Kempsville Rd FL 1
Norfolk, VA 23502-3920

Mailing address

830 Kempsville Rd FL 1
Norfolk, VA 23502-3920
Phone (757) 261-8070

Other identifiers 1

IdentifierTypeStateIssuer
89136YYMedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927001027 VA Practitioner - Internal MedicinePractitioner - Hospitalist 6204814353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Wake Forest University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Lifeway Family Physicians PCGroup PAC ID 8921079492, 4 clinicians

Practice addresses (Care Compare)

1080 1St Colonial Rd
Virginia Beach, VA 23454-2406

1821 Old Donation Pkwy
Suite 4
Virginia Beach, VA 23454-3033
Phone (757) 481-3350

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-01057NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Sep 1, 2007 Accepting new patients
Lifeway Family Physicians PC CurrentSince Jun 1, 2025 Accepting new patients
Sentara Medical Group Hospitalist PastSince Mar 9, 2020 Accepting new patients

Locations

830 Kempsville Rd
#1
Norfolk, VA 23502
Phone (757) 261-8070

830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1821 Old Donation Pkwy
Ste 4
Virginia Beach, VA 23454
Phone (757) 481-3350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1548229180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD FL 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KEMPSVILLE RD FL 1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKHART",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2003-01057",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101241054",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101241054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136YY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.