Luis Faustino Ignacio, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101046136 Issued in VA

Practice address

1500 E Little Creek Rd
205
Norfolk, VA 23518-4137

Phone

(757) 587-4744

Fax

(757) 587-4947

NPI assigned

Feb 3, 2007

Last updated

Mar 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Western Tidewater Community MentalGroup PAC ID 2961476114, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: hamptonroadsbehavioralhlth.luisignacio@126906.advancedmd-direct.com

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.

• Western Tidewater Community Mental

  dba Western Tidewater Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Suffolk, VA
  • NPI 1689615296
  Medicare reassignment Care Compare group
• Greenbrier Center for Behavioral Medicine P C

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1881657773
  NPD (past) Authorized official
• City of Norfolk

  dba Norfolk Community Services Board

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1306800198
  NPD (past)
• City of Norfolk

  dba Norfolk Community Services Board

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1326280652
  NPD (past)
• City of Portsmouth

  dba Department of Behavioral Healthcare Services

  • Community/Behavioral Health Agency
  • Portsmouth, VA
  • NPI 1093891699
  NPD (past)

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1710025333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 FAIRWAY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233209400",
            "telephone_number": "757-547-1638",
            "fax_number": "757-549-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK RD",
            "address_2": "205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184137",
            "telephone_number": "757-587-4744",
            "fax_number": "757-587-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "LUIS",
        "middle_name": "FAUSTINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101046136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71-6051-8",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.

Verify at the official NPI Registry.