NPIMap

Organization Active NPI

Hampton Roads Proton Beam Therapy

Doing business as Hampton University Proton Therapy Institute (HUPTI)

  • Radiological Physics Physician
  • Hampton, VA
National Provider Identifier
1770722175
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
Legal business name
HAMPTON ROADS PROTON BEAM THERAPY
Doing business as
Hampton University Proton Therapy Institute (HUPTI)
Practice address
40 Enterprise Parkway
Hampton, VA 23666-5800
Phone
(757) 251-6800
Fax
(757) 251-6920
NPI assigned
Feb 10, 2009
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mrs. Doretha J. Spells
Title
Vice President of Business Affairs
Phone
(757) 727-5213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0205X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

40 Enterprise Parkway
Hampton, VA 23666-5800

Mailing address

40 Enterprise Parkway
Hampton, VA 23666-5800
Phone (757) 251-6800

Other names 1

  • Hampton University Proton Therapy Institute (HUPTI) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000919 VA Part B Supplier - Clinic/Group Practice 8224225610 Receives reassigned benefits from 3 practitioners
Practice locations: Hampton, VA

National Provider Directory

National Provider Directory

Locations

40 Enterprise Pkwy
Hampton, VA 23666
Phone (757) 251-6800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1770722175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENTERPRISE PARKWAY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665800",
            "telephone_number": "757-251-6800",
            "fax_number": "757-251-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENTERPRISE PARKWAY",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665800",
            "telephone_number": "757-251-6800",
            "fax_number": "757-251-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS PROTON BEAM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "SPELLS",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "757-727-5213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton University Proton Therapy Institute (HUPTI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.