Individual provider Active NPI

Richard Scott Rosenblum, MD

  • Plastic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1588660880
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101225952 Issued in VA
Practice address
2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498
Phone
(757) 734-1000
Fax
(757) 734-1001
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101225952 VA Primary

Addresses

Primary practice location

2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498

Mailing address

2829 Shore Dr Ste 200
Virginia Beach, VA 23451-1498
Phone (757) 734-1000

Other practice location 1

300 Medical Pkwy Ste 316
Chesapeake, VA 23320-4985
Phone (757) 734-1000

Other identifiers 1

IdentifierTypeStateIssuer
2022039691MedicaidVA

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
I20111117000089 VA Practitioner - Plastic and Reconstructive Surgery 2062686686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sailon Plastic Surgery LLCGroup PAC ID 2668866351, 3 clinicians

Practice addresses (Care Compare)

1401 Kristina Way
Suite 104
Chesapeake, VA 23320-8918
Phone (757) 734-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision167
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101225952VAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sailon Plastic Surgery LLC Plastic Surgery CurrentSince Mar 1, 2022 Accepting new patients
Chesapeake Bay ENT PC PastSince Jul 1, 2000 Accepting new patients

Locations

300 Medical Pkwy
Ste 316
Chesapeake, VA 23320
Phone (757) 547-0047

1401 Kristina Way
Ste 104
Chesapeake, VA 23320
Phone (757) 734-1000

2829 Shore Dr
Virginia Beach, VA 23451
Phone (757) 496-5556

2829 Shore Dr
Ste 200
Virginia Beach, VA 23451
Phone (757) 496-5556

Interoperability endpoints

  • Direct secure messaging: richardrosenblum@rps.allscriptsdirect.net

Organizations & group practices 2

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.

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1588660880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 SHORE DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511498",
            "telephone_number": "757-734-1000",
            "fax_number": "757-734-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 SHORE DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511498",
            "telephone_number": "757-734-1000",
            "fax_number": "757-734-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Medical Pkwy Ste 316",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204985",
            "country_code": "US",
            "telephone_number": "757-734-1000",
            "fax_number": "757-734-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101225952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022039691",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.