Active NPI
Robert A Woolfitt, MD
- Diagnostic Radiology Physician
- Virginia Beach, VA
National Provider Identifier
1720062912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101028505
- Practice address
- 5544 Greenwich Rd
Ste.200
Virginia Beach, VA 23462-6563 - Phone
- (757) 466-0089
- Fax
- (757) 466-8017
- NPI assigned
- Dec 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101028505 | VA | Primary |
Addresses
Primary practice location
5544 Greenwich Rd
Ste.200
Virginia Beach, VA 23462-6563
Mailing address
PO Box 41115
Norfolk, VA 23541-1115
Phone (757) 466-0089
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139178 | Other | VA | BCBS |
| 15211 | Other | VA | OPTIMA |
| 8906967 | Medicaid | NC | |
| 15211 | Other | VA | SENTARA |
| 7230630 | Medicaid | VA | |
| 300058729 | Other | VA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1720062912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41115",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235411115",
"telephone_number": "757-466-0089",
"fax_number": "757-466-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5544 GREENWICH RD",
"address_2": "STE.200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626563",
"telephone_number": "757-466-0089",
"fax_number": "757-466-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLFITT",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101028505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "15211",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8906967",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "15211",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7230630",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300058729",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.