Individual provider Active NPI

Asser A El-Atfy, MD

  • Pulmonary Disease Physician
  • Williamsburg, VA
National Provider Identifier
1710985239
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101257546 Issued in VA
Practice address
120 Kings Way
Suite 2200
Williamsburg, VA 23185-2505
Phone
(757) 645-3460
Fax
(757) 645-3481
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 36886 KY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101257546 VA
Pulmonary Disease Physician 207RP1001X 0101257546 VA Primary

Addresses

Primary practice location

120 Kings Way
Suite 2200
Williamsburg, VA 23185-2505

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asser.el-atfy.1@1523.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120307000261 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4688603988 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36886KYMDPulmonary Disease Physician
0101257546VAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC CurrentSince Mar 12, 2012 Accepting new patients
Taylor County Hospital District Health Facilities Corporation Past Accepting new patients

Locations

5992 Berryhill Rd
Ste 203
Milton, FL 32570
Phone (850) 626-2131

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

Interoperability endpoints

  • Direct secure messaging: asser.el-atfy.1@1523.direct.athenahealth.com

Organizations & group practices 2

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1710985239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KINGS WAY",
            "address_2": "SUITE 2200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852505",
            "telephone_number": "757-645-3460",
            "fax_number": "757-645-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-ATFY",
        "first_name": "ASSER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "36886",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101257546",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101257546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asser.el-atfy.1@1523.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "550 Redstone Ave W Ste 490",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325366457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.