Individual provider Active NPI

Richard James Demasi, MD

  • Vascular Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1619948072
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101049371 Issued in VA
Practice address
397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone
(757) 395-1600
Fax
(757) 961-9359
NPI assigned
Feb 1, 2006
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0101049371 VA Primary

Addresses

Primary practice location

397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774

Mailing address

397 Little Neck Rd Ste 120
Virginia Beach, VA 23452-5774
Phone (757) 395-1600

Other practice location 1

397 Little Neck Rd
Ste 100 3300 South Bldg
Va Beach, VA 23452
Phone (757) 470-5570

Other identifiers 2

IdentifierTypeStateIssuer
007309741MedicaidVA
770003097OtherMEDICARE RAILROAD

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
I20060427000367 VA Practitioner - Vascular SurgeryPractitioner - Interventional Radiology 5991785628 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Oct 1, 2007 Accepting new patients
Sentara Medical Group Vascular Surgery CurrentSince Oct 1, 2007 Accepting new patients
Vascular Access Services PLLC Vascular Surgery CurrentSince May 1, 2006 Accepting new patients
Vascular & Transplant Specialists PC Vascular Surgery Past Accepting new patients
Mandell Retina Center PC PastSince May 1, 2006 Accepting new patients

Locations

40 Valley Stream Pkwy
Ste 100
Malvern, PA 19355

6160 Kempsville Cir
Ste 101B
Norfolk, VA 23502
Phone (757) 461-2098

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

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

397 Little Neck Rd
#3300S
Virginia Beach, VA 23452
Phone (757) 333-3870

397 Little Neck Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 222-2230

397 Little Neck Rd
Ste 120
Virginia Beach, VA 23452

397 Little Neck Rd
Ste 150
Virginia Beach, VA 23452
Phone (757) 333-3870

800 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 363-6100

Interoperability endpoints

  • Direct secure messaging: rdemasi27069@direct.sentara.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1619948072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525774",
            "telephone_number": "757-395-1600",
            "fax_number": "757-961-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD STE 120",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525774",
            "telephone_number": "757-395-1600",
            "fax_number": "757-961-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Little Neck Rd",
            "address_2": "Ste 100 3300 South Bldg",
            "address_purpose": "LOCATION",
            "city": "Va Beach",
            "state": "VA",
            "postal_code": "23452",
            "country_code": "US",
            "telephone_number": "757-470-5570",
            "fax_number": "757-227-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMASI",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101049371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007309741",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "770003097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.