Individual provider Active NPI

Steven Cronquist, M.D.

  • MOHS-Micrographic Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1689613044
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101051623 Issued in VA
Practice address
1101 First Colonial Rd
Suite 200
Virginia Beach, VA 23454-2409
Phone
(757) 481-1666
Fax
(757) 481-7696
NPI assigned
Jun 4, 2006
Last updated
Oct 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 224565 MA
MOHS-Micrographic Surgery Physician 207ND0101X 0101051623 VA Primary

Addresses

Primary practice location

1101 First Colonial Rd
Suite 200
Virginia Beach, VA 23454-2409

Mailing address

1101 First Colonial Rd
Suite 200
Virginia Beach, VA 23454-2409
Phone (757) 481-1666

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
I20121012000749 VA Practitioner - Dermatology 3274590781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Dermatology Associates PCGroup PAC ID 2961455076, 7 clinicians

Practice addresses (Care Compare)

1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004
Phone (757) 481-1666

216 Mason Ave
Cape Charles, VA 23310-3200
Phone 7574811666200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision96
Removal of skin lesions1-10
Removal of skin cancer783
Skin biopsy32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224565MAMDClinical Social Worker
0101051623VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Dermatology Associates PC CurrentSince Sep 1, 2012 Accepting new patients
Mystic Valley Dermatology Associates, P.C. Mohs-Micrographic Surgery Past Accepting new patients
Great Lakes Dermatology SC Past Accepting new patients

Locations

216 Mason Ave
Cape Charles, VA 23310
Phone (757) 331-1422

1101 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 481-1666

1849 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 422-8476

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1689613044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FIRST COLONIAL RD",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542409",
            "telephone_number": "757-481-1666",
            "fax_number": "757-481-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FIRST COLONIAL RD",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542409",
            "telephone_number": "757-481-1666",
            "fax_number": "757-481-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONQUIST",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "224565",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101051623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.