Individual provider Active NPI

Robert N Velbis, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1760626493
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002936 Issued in VA
Practice address
940 General Booth Blvd Ste a
Virginia Beach, VA 23451-4861
Phone
(757) 425-3610
Fax
(757) 425-1582
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002936 VA Primary

Addresses

Primary practice location

940 General Booth Blvd Ste a
Virginia Beach, VA 23451-4861

Mailing address

940 General Booth Blvd Ste a
Virginia Beach, VA 23451-4861
Phone (757) 348-8604

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

State licenses

LicenseStateTypeSpecialty
0110002936VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Emergency Medical Care Physician Assistant PastSince Feb 2, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1760626493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 GENERAL BOOTH BLVD STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514861",
            "telephone_number": "757-348-8604",
            "fax_number": "757-425-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 GENERAL BOOTH BLVD STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514861",
            "telephone_number": "757-425-3610",
            "fax_number": "757-425-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELBIS",
        "first_name": "ROBERT",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002936",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.