Individual provider Active NPI

Chad Richard Pusateri, D.O.

  • Urology Physician
  • Portsmouth, VA
National Provider Identifier
1619235280
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2013-01575 Issued in NC
Practice address
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708-2197
Phone
(757) 953-2341
NPI assigned
May 2, 2012
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 2013-01575 NC Primary

Addresses

Primary practice location

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708-2197

Mailing address

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708-2197
Phone (757) 953-2341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210714002707 NC Practitioner - Urology 0648672501 Reassigns benefits to 2 organizations
I20241016001341 VA Practitioner - Urology 0648672501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 873-1317

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-01575NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Sep 30, 2024 Accepting new patients
Riverside Physician Services Inc Single Specialty Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Single Specialty Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Single Specialty CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Single Specialty CurrentSince Jul 9, 2021 Accepting new patients
Riverside Physician Services, Inc. Single Specialty CurrentSince Sep 30, 2024 Accepting new patients
Cumberland County Hospital System Inc Single Specialty Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Urology CurrentSince Mar 15, 2025 Accepting new patients
Cumberland County Hospital System Inc Single Specialty CurrentSince Jul 9, 2021 Accepting new patients
Riverside Physician Services Inc Single Specialty Past Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2301 Robeson St
Ste 203
Fayetteville, NC 28305
Phone (910) 484-4100

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

850 Enterprise Pkwy
Ste 2000
Hampton, VA 23666
Phone (757) 534-6109

500 J Clyde Morris Blvd
#500
Newport News, VA 23601
Phone (757) 873-1374

500 J Clyde Morris Blvd
Ste 500
Newport News, VA 23601
Phone (757) 873-1317

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Interoperability endpoints

  • Direct secure messaging: cpusateri240113@direct.rivhs.com
  • Direct secure messaging: cpusateri91687@capefearvalley.direct-ci.com

Organizations & group practices 10

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1619235280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197",
            "telephone_number": "757-953-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197",
            "telephone_number": "757-953-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "CHAD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "2013-01575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.