NPIMap

Individual provider Active NPI

Sinclair Booker McCracken, M.D.

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1689631707
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101054486 Issued in VA
Practice address
704 Thimble Shoals Blvd
Suite 600a
Newport News, VA 23606-4544
Phone
(757) 595-5001
Fax
(757) 595-5077
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101054486 VA Primary

Addresses

Primary practice location

704 Thimble Shoals Blvd
Suite 600a
Newport News, VA 23606-4544

Mailing address

704 Thimble Shoals Blvd
Suite 600a
Newport News, VA 23606-4544
Phone (757) 595-5001

Other identifiers 1

IdentifierTypeStateIssuer
010022886MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091211000523 VA Practitioner - Family Practice 6901946516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 1, 2019 Accepting new patients
Tidewater Physicians Multispecialty Group PC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Bayview Physician Services, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

704 Thimble Shoals Blvd
Ste 600A
Newport News, VA 23606
Phone (757) 595-5001

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 5

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 7

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1689631707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 600A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-595-5001",
            "fax_number": "757-595-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 THIMBLE SHOALS BLVD",
            "address_2": "SUITE 600A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064544",
            "telephone_number": "757-595-5001",
            "fax_number": "757-595-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "SINCLAIR",
        "middle_name": "BOOKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101054486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010022886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.