Individual provider Active NPI

James White Rawles III, MD

  • Vascular Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1790043321
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101266904 Issued in VA
Practice address
397 Little Neck Rd
Virginia Beach, VA 23452-5765
Phone
(757) 395-1600
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0101266904 VA Primary

Addresses

Primary practice location

397 Little Neck Rd
Virginia Beach, VA 23452-5765

Mailing address

397 Little Neck Rd
Virginia Beach, VA 23452-5765
Phone (757) 395-1600

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
I20191108002260 VA Practitioner - Vascular Surgery 9234370743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Eastern Virginia Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Access Services PLLCGroup PAC ID 3971513771, 10 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

397 Little Neck Rd
3300 South BLDG
Virginia Beach, VA 23452-5770
Phone (757) 333-3870

397 Little Neck Rd
Suite 120
Virginia Beach, VA 23452-5774
Phone (757) 395-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal65
Leg revascularization (restoring blood flow)41
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101266904VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Vascular Surgery CurrentSince Sep 2, 2023 Accepting new patients
Vascular Access Services PLLC Vascular Surgery CurrentSince Jul 1, 2024 Accepting new patients
Tidewater Kidney Specialists, Inc. Vascular Surgery PastSince Sep 18, 2019 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

397 Little Neck Rd
#3300S
Virginia Beach, VA 23452
Phone (757) 333-3870

397 Little Neck Rd
Ste 150
Virginia Beach, VA 23452
Phone (757) 333-3870

397 Little Neck Rd
Ste 120
Virginia Beach, VA 23452

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1790043321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-395-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-395-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLES",
        "first_name": "JAMES",
        "middle_name": "WHITE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101266904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.