NPIMap

Organization Active NPI

Pedro D Hasas, MD, PLC

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1548415672
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101051062 Issued in VA
Legal business name
PEDRO D HASAS, MD, PLC
Practice address
160 Kingsley LN
Suite# 205
Norfolk, VA 23505-4600
Phone
(757) 583-4329
Fax
(757) 583-1770
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. Pedro Danilo Hasas, M.DNPI 1871560110
Title
Owner
Phone
(757) 583-4329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101051062 VA Primary

Addresses

Primary practice location

160 Kingsley LN
Suite# 205
Norfolk, VA 23505-4600

Mailing address

160 Kingsley LN
Suite# 205
Norfolk, VA 23505-4600
Phone (757) 583-4329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130403000560 VA Part B Supplier - Clinic/Group Practice 5294970737 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

330 E Bayview Blvd
Norfolk, VA 23503
Phone (757) 583-1200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1548415672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN",
            "address_2": "SUITE# 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054600",
            "telephone_number": "757-583-4329",
            "fax_number": "757-583-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KINGSLEY LN",
            "address_2": "SUITE# 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054600",
            "telephone_number": "757-583-4329",
            "fax_number": "757-583-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO D HASAS, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "HASAS",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "DANILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-583-4329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051062",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.