Individual provider Active NPI

Leonid Borisovich Reshko, M.D.

  • Radiation Oncology Physician
  • Newport News, VA
National Provider Identifier
1770016065
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101274451 Issued in VA
Practice address
12100 Warwick Blvd # 120
Newport News, VA 23601-2365
Phone
(757) 594-2644
Fax
(757) 594-3134
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X KY
Radiation Oncology Physician 2085R0001X 0101274451 VA Primary

Addresses

Primary practice location

12100 Warwick Blvd # 120
Newport News, VA 23601-2365

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

529 S Jackson St Ste 400
Louisville, KY 40202
Phone (502) 561-2700

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
I20220712000583 VA Practitioner - Radiation Oncology 7810244704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

12100 Warwick Blvd
Suite 102
Newport News, VA 23601-2365
Phone (757) 594-2644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services, Inc. Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Riverside Physician Services Inc Multi-Specialty Current Accepting new patients
Riverside Physician Services Inc Multi-Specialty CurrentSince Jul 1, 2022 Accepting new patients
Riverside Physician Services Inc Multi-Specialty Past Accepting new patients

Locations

7544 Medical Dr
Gloucester, VA 23061
Phone (804) 693-4900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

12100 Warwick Blvd
Ste 102
Newport News, VA 23601
Phone (757) 594-2644

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

3901 Treyburn Dr
Ste B
Williamsburg, VA 23185
Phone (757) 220-4600

Interoperability endpoints

  • Direct secure messaging: lreshko58541@direct.rivhs.com

Organizations & group practices 4

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 3

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1770016065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WARWICK BLVD # 120",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012365",
            "telephone_number": "757-594-2644",
            "fax_number": "757-594-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 S Jackson St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40202",
            "country_code": "US",
            "telephone_number": "502-561-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESHKO",
        "first_name": "LEONID",
        "middle_name": "BORISOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101274451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.