NPIMap

Organization Active NPI

Hampton Roads Orthopaedic & Sports Medicine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newport News, VA
National Provider Identifier
1740549302
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC
Practice address
732 Thimble Shoals Blvd Ste 803
Newport News, VA 23606-4218
Phone
(757) 873-1554
Fax
(757) 873-3239
NPI assigned
May 16, 2012
Organization subpart
Yes
Parent organization
HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Wendy Jackson
Title
Chief Information Officer
Phone
(757) 873-1554

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 803
Newport News, VA 23606-4218

Mailing address

730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
Phone (757) 933-8888

Other names 1

  • HROSM Interventional Spine & Sports Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001022 VA Part B Supplier - Clinic/Group Practice 4688659097 Receives reassigned benefits from 29 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport News, VA; Suffolk, VA; Williamsburg, VA; Yorktown, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hampton Roads Orthopaedic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1740549302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 THIMBLE SHOALS BLVD STE 130",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064562",
            "telephone_number": "757-933-8888",
            "fax_number": "757-806-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 803",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064218",
            "telephone_number": "757-873-1554",
            "fax_number": "757-873-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMPTON ROADS ORTHOPAEDIC & SPORTS MEDICINE LLC",
        "enumeration_date": "2012-05-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
        "authorized_official_telephone_number": "757-873-1554"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HROSM Interventional Spine & Sports Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HROSM Interventional Spine & Sports Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.