Jacob Buote, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Onancock, VA
NPI 1689414336 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1689414336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 0101281421 (VA)
- Practice address
- 20486 Market St
Onancock, VA 23417-4309 - Phone
- (757) 302-2700
- Fax
- (757) 787-9262
- NPI assigned
- May 30, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Memorial Un of Newfoundland, Faculty of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Physician Services Inc
Practice addresses (Care Compare)
20486 Market St
Onancock, VA 23417-4309
Phone (757) 302-2700
Hospital & facility affiliations
- Riverside Shore Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120003421 | VA | Practitioner - Obstetrics/Gynecology | 2466987961 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101281421 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current |
Accepting new patients | |
| Riverside Physician Services, Inc. | Current |
Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
20486 Market St
Onancock, VA 23417
Phone (757) 302-2700
Interoperability endpoints
- jbuote233719@direct.rivhs.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101281421 | VA | Yes |
Addresses
Primary practice location
20486 Market St
Onancock, VA 23417-4309
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other providers in Onancock, VA
- Anthony M Abraham
- Accomack Chiropractic PC
- Ahp Delmarva, LLP
- Rudra Beharrysingh
- Tiffany Jean Bloom
- Sarah Mears Chew
- Wayne Yuck Chin
- Johanna Cordell
- Laura Crum
- Sierra Dickman Cuppett
All providers in Onancock, VA · Obstetrics & Gynecology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.