Individual provider Active NPI

Steven Todd Pietruszynski, M.D.

  • Diagnostic Radiology Physician
  • Hampton, VA
National Provider Identifier
1801862701
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101242215 Issued in VA
Practice address
3000 Coliseum Dr.
Sentara Caveplex Hospital
Hampton, VA 23666-5963
Phone
(757) 736-1621
Fax
(757) 827-6748
NPI assigned
Feb 28, 2006
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD423400 PA
Diagnostic Radiology Physician 2085R0202X 0101242215 VA Primary

Addresses

Primary practice location

3000 Coliseum Dr.
Sentara Caveplex Hospital
Hampton, VA 23666-5963

Mailing address

P.O. Box 12127
Newport News, VA 23612-2127
Phone (757) 867-6101

Other identifiers 2

IdentifierTypeStateIssuer
10024106OtherVASENTANA
1801862701MedicaidVA

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
I20080229000584 VA Practitioner - Diagnostic Radiology 4880683291 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

25 The Palisades
Williamsburg, VA 23185-8612
Phone (480) 306-6949

832 Quail Pointe CV
Virginia Beach, VA 23454-3156
Phone (480) 306-6949

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD423400PAMDDiagnostic Radiology Physician
0101242215VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Jan 18, 2023 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Feb 6, 2023 Accepting new patients
Capital Digestive Care LLC CurrentSince Jan 18, 2023 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Feb 6, 2023 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

885 Kempsville Rd
Ste 114
Norfolk, VA 23502
Phone (757) 466-0165

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

1717 Will O Wisp Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 481-4817

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1801862701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12127",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236122127",
            "telephone_number": "757-867-6101",
            "fax_number": "757-867-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR.",
            "address_2": "SENTARA CAVEPLEX HOSPITAL",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-1621",
            "fax_number": "757-827-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUSZYNSKI",
        "first_name": "STEVEN",
        "middle_name": "TODD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD423400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101242215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTANA",
            "identifier": "10024106",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801862701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.