Individual provider Active NPI

William Frederick Mollenkopf, M.D.

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1720345002
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101258574 Issued in VA
Practice address
1168 First Colonial Rd
Ste 101
Virginia Beach, VA 23454-2444
Phone
(757) 352-2030
Fax
(757) 352-2031
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101258574 VA Primary

Addresses

Primary practice location

1168 First Colonial Rd
Ste 101
Virginia Beach, VA 23454-2444

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150901002835 VA Practitioner - Family Practice 2860708179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christopher Dowd DO PCGroup PAC ID 5799936522, 7 clinicians

Practice addresses (Care Compare)

5833 Harbour View Blvd
Suite B
Suffolk, VA 23435-3760
Phone (757) 337-4018

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dowd DO PC CurrentSince Apr 12, 2021 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Plastic Surgery Specialist of Virginia, Inc. PastSince Apr 12, 2021 Accepting new patients

Locations

400 W Brambleton Ave
Ste 202
Norfolk, VA 23510
Phone (757) 337-4018

901 Hampton Blvd
Ste 300
Norfolk, VA 23507
Phone (757) 337-4018

5833 Harbour View Blvd
Ste B
Suffolk, VA 23435
Phone (757) 337-4018

1024 Centerbrooke Ln
Ste F
Suffolk, VA 23434
Phone (347) 654-5690

Interoperability endpoints

  • Direct secure messaging: wmollenkopf@cdd-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1720345002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 FIRST COLONIAL RD",
            "address_2": "STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542444",
            "telephone_number": "757-352-2030",
            "fax_number": "757-352-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLENKOPF",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101258574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.