Active NPI
Michael Tobeh Kometa, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 0101249428
- Practice address
- 200 Medical Park Blvd
Petersburg, VA 23805-9274 - Phone
- (804) 765-5991
- Fax
- (804) 765-5244
- NPI assigned
- Aug 4, 2008
- Last updated
- Sep 2, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2023-01286 | NC | |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | KOME3968700 | OH | |
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 0101249428 | VA | Primary |
Addresses
Primary practice location
200 Medical Park Blvd
Petersburg, VA 23805-9274
Mailing address
200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (804) 765-5991
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5680
Other practice location 2
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000 ext. 56949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700042231 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (852) 335-0531
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000
2 Bernadine Dr
Newport News, VA 23602-4404
Phone (240) 686-2300
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8108
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (336) 538-7000
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8240
Hospital & facility affiliations
- Carolina East Medical Center
- Bon Secours Southside Medical Center
- Ecu Health North Hospital
- Sentara Martha Jefferson Hospital
- Unc Health Nash
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Quality
- 74.19
- Improvement activities
- 40
- Cost
- 73.55
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.74 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KOME3968700 | OH | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Medical Group, PC | Current | Accepting new patients | |
| CMH Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Cogent Healthcare of North Carolina, PC | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Arnot Medical Services PLLC | Internal Medicine | Past | Accepting new patients |
Locations
260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
727 N Main St
Emporia, VA 23847
Phone (434) 348-4400
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1437869302
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
NC
-
- Hospitalist Physician
- Brevard, NC
- NPI 1184669053
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
dba Vidant Endoscopy Center-Kinston
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours - Southside Medical Center
- General Acute Care Hospital
- Petersburg, VA
- NPI 1720623853
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- General Acute Care Hospital
- New Bern, NC
- NPI 1801852835
-
dba ECU Health North Hospital
- General Acute Care Hospital
- Roanoke Rapids, NC
- NPI 1346273943
-
dba Nash General Hospital
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1700042231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059274",
"telephone_number": "804-765-5991",
"fax_number": "804-765-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059274",
"telephone_number": "804-765-5991",
"fax_number": "804-765-5244"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-5680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000 x56949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMETA",
"first_name": "MICHAEL",
"middle_name": "TOBEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2023-01286",
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "OH",
"license": "KOME3968700",
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "VA",
"license": "0101249428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700042231",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.