Individual provider Active NPI

Michael Mackenzie Lee Dore, M.D.

  • Hospitalist Physician
  • Portsmouth, VA
National Provider Identifier
1700148418
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101255278 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-2223
NPI assigned
Jun 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022-03245 NC
Internal Medicine Physician 207R00000X M-1956 GU
Internal Medicine Physician 207R00000X 0101255278 VA
Hospitalist Physician 208M00000X 0101255278 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

508 Fulton St
Durham, NC 27705-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210112000816 VA Practitioner - HospitalistPractitioner - Internal Medicine 6507096674 Reassigns benefits to 1 organization
I20230623001373 NC Practitioner - Internal Medicine 6507096674 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-1956GUMDInternal Medicine Physician
2022-03245NCMDInternal Medicine Physician
0101255278VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Apr 4, 2022 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Hospitalist CurrentSince Jan 23, 2024 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Sentara Medical Group PastSince Apr 4, 2022 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070

830 Kempsville Rd
Rm 2B223
Norfolk, VA 23502
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1700148418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "MICHAEL",
        "middle_name": "MACKENZIE LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-03245",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M-1956",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255278",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101255278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.