NPIMap

Individual provider Active NPI

Amy Michelle Skorupa, MD

  • Hematology & Oncology Physician
  • Chesapeake, VA
National Provider Identifier
1780605576
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101241750 Issued in VA
Practice address
110 Wimbledon SQ
Suite E
Chesapeake, VA 23320-4946
Phone
(757) 436-2995
Fax
(757) 436-2912
NPI assigned
Jul 21, 2006
Last updated
Jun 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101241750 VA Primary

Addresses

Primary practice location

110 Wimbledon SQ
Suite E
Chesapeake, VA 23320-4946

Mailing address

856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006

Other identifiers 1

IdentifierTypeStateIssuer
1780605576MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000934 VA Practitioner - Hematology/Oncology 7618981663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Cancer Institute, LLCGroup PAC ID 8729031638, 30 clinicians

Practice addresses (Care Compare)

120 Kings Way
Suite 3100
Williamsburg, VA 23185-2506
Phone (757) 345-5724

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

State licenses

LicenseStateTypeSpecialty
0101241750VAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Cancer Institute LLC Hematology & Oncology CurrentSince Sep 1, 2007 Accepting new patients
Cancer Specialists of Tidewater, LTD. Past Accepting new patients
Peninsula Cancer Institute LLC Hematology & Oncology Past Accepting new patients

Locations

110 Wimbledon Sq
Ste E
Chesapeake, VA 23320
Phone (757) 436-1492

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

120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724

Interoperability endpoints

  • Direct secure messaging: askorupa1155827@direct.bsmhealth.org
  • Direct secure messaging: askorupa12545@direct.rivhs.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1780605576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WIMBLEDON SQ",
            "address_2": "SUITE E",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204946",
            "telephone_number": "757-436-2995",
            "fax_number": "757-436-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORUPA",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101241750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780605576",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.