Individual provider Active NPI

Peter T Moskal, MD

  • Pediatric Orthopaedic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1811335011
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
0101270019 Issued in VA
Practice address
171 Kempsville Rd Ste 201
BLDG a Suite 201
Norfolk, VA 23502
Phone
(757) 668-6550
Fax
(757) 668-6544
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 0101270019 VA Primary

Addresses

Primary practice location

171 Kempsville Rd Ste 201
BLDG a Suite 201
Norfolk, VA 23502

Mailing address

171 Kempsville Road, BLDG. a
Norfolk, VA 23502
Phone (757) 668-6550

Other practice location 1

11783 Rock Landing Dr
Newport News, VA 23606-4431
Phone (757) 668-6550

Other practice location 2

500 Discovery Dr
Chesapeake, VA 23320-3871
Phone (757) 668-6550

Other practice location 3

601 Childrens Ln
Norfolk, VA 23507-1910
Phone (757) 668-6550

Other practice location 4

1924 Landstown Centre Way
Virginia Beach, VA 23456-1624
Phone (757) 668-6550

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
I20210414001250 VA Practitioner - Orthopedic Surgery 7810113396 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Surgical Specialty Group, Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

500 Discovery Dr
Chesapeake, VA 23320
Phone (757) 668-2311

11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

171 Kempsville Rd
Bldg A
Norfolk, VA 23502
Phone (757) 668-6550

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1811335011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 KEMPSVILLE ROAD, BLDG. A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-668-6550",
            "fax_number": "757-668-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 KEMPSVILLE RD STE 201",
            "address_2": "BLDG A SUITE 201",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-668-6550",
            "fax_number": "757-668-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11783 Rock Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064431",
            "country_code": "US",
            "telephone_number": "757-668-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203871",
            "country_code": "US",
            "telephone_number": "757-668-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Childrens Ln",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071910",
            "country_code": "US",
            "telephone_number": "757-668-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Landstown Centre Way",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234561624",
            "country_code": "US",
            "telephone_number": "757-668-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKAL",
        "first_name": "PETER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-02-15",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101270019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.