Individual provider Active NPI

Gerard Abate, M.D.

  • Cardiovascular Disease Physician
  • Williamsburg, VA
National Provider Identifier
1669565636
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101040491 Issued in VA
Practice address
4155 Winthrop Cir
Williamsburg, VA 23188-7611
Phone
(540) 220-6216
Fax
(386) 627-1598
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101040491 VA Primary

Addresses

Primary practice location

4155 Winthrop Cir
Williamsburg, VA 23188-7611

Mailing address

4155 Winthrop Cir
Williamsburg, VA 23188-7611
Phone (540) 220-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, VI2 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
I20041018000365 VA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4981664596 Reassigns benefits to 2 organizations
I20191018000524 VI Practitioner - Internal Medicine 4981664596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone (804) 730-0009

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

Hospital & facility affiliations

  • Dockside Health & Rehab Center Nursing home, Locust Hill, VA, CCN 495422
  • Hampton Health & Rehab Center, LLC Nursing home, Hampton, VA, CCN 495287
  • Williamsburg Post Acute & Rehabilitation Nursing home, Williamsburg, VA, CCN 495235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Care Aco LLC CurrentSince Jan 1, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 30, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jul 30, 2019 Accepting new patients
Legacy Care LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

74 Mizpah Rd
Locust Hill, VA 23092
Phone (804) 758-5260

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dockside Health & Rehab CenterLocust Hill, VA, CCN 495422 Skilled nursing facility Adp of the SNF Dec 12, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1669565636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 WINTHROP CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887611",
            "telephone_number": "540-220-6216",
            "fax_number": "386-627-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 WINTHROP CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887611",
            "telephone_number": "540-220-6216",
            "fax_number": "386-627-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABATE",
        "first_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-11",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101040491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.