Active NPI
Robert John D'Haem, M.D.
- Diagnostic Radiology Physician
- Norfolk, VA
National Provider Identifier
1689627911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101034370
- Practice address
- 110 Kingsley LN
Ste 305
Norfolk, VA 23505-4614 - Phone
- (757) 889-5422
- Fax
- (757) 889-5450
- NPI assigned
- May 18, 2006
- Last updated
- Dec 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101034370 | VA | Primary |
Addresses
Primary practice location
110 Kingsley LN
Ste 305
Norfolk, VA 23505-4614
Mailing address
110 Kingsley LN
Ste 305
Norfolk, VA 23505-4614
Phone (757) 889-5422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007238878 | Medicaid | VA | |
| 300043436 | Other | VA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Services LLC | Diagnostic Radiology | Past | Accepting new patients |
| Carroll Pinto Inc | Past | Accepting new patients | |
| Medical Center Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
| Suffolk Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1487767141
-
- Diagnostic Radiology Physician
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- NPI 1720079254
-
- Diagnostic Radiology Physician
- Suffolk, VA
- NPI 1770534307
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1689627911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KINGSLEY LN",
"address_2": "STE 305",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054614",
"telephone_number": "757-889-5422",
"fax_number": "757-889-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KINGSLEY LN",
"address_2": "STE 305",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054614",
"telephone_number": "757-889-5422",
"fax_number": "757-889-5450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'HAEM",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101034370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007238878",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300043436",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.