Individual provider Active NPI

Kyle Seung Choe, MD

  • Facial Plastic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1629109061
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
0101235723 Issued in VA
Practice address
4400 Corporation LN
Suite #102
Virginia Beach, VA 23462-3109
Phone
(757) 389-5850
Fax
(757) 499-3745
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 0101235723 VA Primary

Addresses

Primary practice location

4400 Corporation LN
Suite #102
Virginia Beach, VA 23462-3109

Mailing address

4400 Corporation LN
Suite #102
Virginia Beach, VA 23462-3109
Phone (757) 389-5850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 1, 2016 through Jun 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235723VAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vito C. Quatela, MD PLLC Facial Plastic Surgery PastSince Jul 1, 1999 Accepting new patients
Laser Skin & Vein Center of Virginia PC Past Accepting new patients

Organizations & group practices 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629109061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CORPORATION LN",
            "address_2": "SUITE #102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623109",
            "telephone_number": "757-389-5850",
            "fax_number": "757-499-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 CORPORATION LN",
            "address_2": "SUITE #102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623109",
            "telephone_number": "757-389-5850",
            "fax_number": "757-499-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "KYLE",
        "middle_name": "SEUNG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101235723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.