Active NPI
Medical Practice, LTD.
- Internal Medicine Physician
- Chesapeake, VA
National Provider Identifier
1609938505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101023718
- Legal business name
- MEDICAL PRACTICE, LTD.
- Practice address
- 710 Liberty St
Chesapeake, VA 23324-2637 - Phone
- (757) 543-6861
- Fax
- (757) 543-4082
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dharmesh K Shah, M.D.
- Title
- President
- Phone
- (757) 543-6861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101023718 | VA | Primary |
Addresses
Primary practice location
710 Liberty St
Chesapeake, VA 23324-2637
Mailing address
710 Liberty St
Chesapeake, VA 23324-2637
Phone (757) 543-6861
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461191 | Other | VA | ANTHEM |
| 5882401 | Medicaid | VA | |
| 12090 | Other | VA | OPTIMA HEALTH |
| 110138225 | Other | VA | MEDICARE-RAILROAD |
National Provider Directory
National Provider DirectoryLocations
710 Liberty St
Chesapeake, VA 23324
Phone (757) 543-6861
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chesapeake, VA
- NPI 1942233267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1609938505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 LIBERTY ST",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233242637",
"telephone_number": "757-543-6861",
"fax_number": "757-543-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LIBERTY ST",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233242637",
"telephone_number": "757-543-6861",
"fax_number": "757-543-4082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL PRACTICE, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "DHARMESH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-543-6861",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101023718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "461191",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5882401",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "12090",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RAILROAD",
"identifier": "110138225",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Medi Home Health Agency, Inc. (Medi Home Health Agency)
- Medi Home Health Agency, Inc. (Medi Home Health & Hospice)
- Medical & Surgical Eye Specialists Inc
- Medical & Surgical Eye Specialists Inc
- Medical Facilities of America VII & Xiv (Chesapeake Health & Rehabilitation Center)
- Medical Pro, Inc.
- Medical Services of America Inc (Medi Home Care)
- Medical Solutions of Virginia, Inc
- Medivps Group LLC
- Medscan Imaging, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.