NPIMap

Individual provider Active NPI

Valeria Bohrt Terceros, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Virginia Beach, VA
National Provider Identifier
1609005396
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101268790 Issued in VA
Practice address
1925 Glenn Mitchell Dr Ste 202
Virginia Beach, VA 23456-0177
Phone
(757) 507-0900
Fax
(757) 301-6462
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014029971 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2014029971 MO
Student in an Organized Health Care Education/Training Program 390200000X 0116024325 VA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101268790 VA Primary

Addresses

Primary practice location

1925 Glenn Mitchell Dr Ste 202
Virginia Beach, VA 23456-0177

Mailing address

1925 Glenn Mitchell Dr Ste 202
Virginia Beach, VA 23456-0177
Phone (757) 507-0900

Other practice location 1

960 E Walnut Lawn St
Ste 201
Springfield, MO 65807-7506
Phone (417) 269-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615002620 VA Practitioner - Endocrinology 4183937352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2005
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

Practice addresses (Care Compare)

1925 Glenn Mitchell Dr
Suite 202
Virginia Beach, VA 23456-0177
Phone (757) 507-0900

Hospital & facility affiliations

  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101268790VAMDEndocrinology, Diabetes & Metabolism Physician
0116024325VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

1925 Glenn Mitchell Dr
Ste 202
Virginia Beach, VA 23456
Phone (757) 507-0700

Interoperability endpoints

  • Direct secure messaging: vbohrtterceros630446@direct.sentara.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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1609005396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560177",
            "telephone_number": "757-507-0900",
            "fax_number": "757-301-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560177",
            "telephone_number": "757-507-0900",
            "fax_number": "757-301-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 E Walnut Lawn St",
            "address_2": "STE 201",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077506",
            "country_code": "US",
            "telephone_number": "417-269-4450",
            "fax_number": "417-269-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHRT TERCEROS",
        "first_name": "VALERIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014029971",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2014029971",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116024325",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101268790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.